Individual
BRANDY NICOLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
416 ARMSLEY SQ, ONTARIO, CA 91762-1609
(951) 543-6882
Mailing address
416 ARMSLEY SQ, ONTARIO, CA 91762-1609
(951) 543-6882
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95024065
CA
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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