LAVERNE ZETA BENNETT

RIVERSIDE, CA
NPI1033547666
Former NameLAVERNE ZETA SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  19932)
Enumeration Date2013-10-16
Last Update Date2013-10-16
Business Address
Ms. LAVERNE ZETA BENNETT RN,MSN, PMHNP
769 W BLAINE ST
RIVERSIDE, CA 92507-3970
Phone number: 951-358-4523
Mailing Address
Ms. LAVERNE ZETA BENNETT RN,MSN, PMHNP
769 W BLAINE ST
RIVERSIDE, CA 92507-3970
Phone number: 951-358-4523