DUSTIN LANSING BENNETT

BEALE AFB, CA
NPI1669039525
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-05-24
Last Update Date2020-07-08
Business Address
DUSTIN LANSING BENNETT PA-C
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903-1905
Phone number: 530-435-5362
Mailing Address
DUSTIN LANSING BENNETT PA-C
2655 E DEER SPRINGS WAY APT 3130
N LAS VEGAS, NV 89086-1479
Phone number: