Chablis Bennett
Technician, Other in Irving, TX. Individual provider (NPI-1).
NPI number1588052310
StatusActive
Last updated in NPPESJan 4, 2015
Details
- NPI
- 1588052310
- Entity type
- Individual (NPI-1)
- Name
- Chablis Bennett
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 1, 2015
- Last updated
- Jan 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
400 E Royal Ln Bldg 3Ste 290
Irving, TX 75039-3540
Phone 855-832-6727 · Fax 772-675-9100
Mailing address
4575 Se Dixie HwyStuart, FL 34997-6826
Phone 855-832-6727 · Fax 772-675-9100
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