SHELBY LEIGH BENNETT

LONG BEACH, CA
NPI1942074711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA64972)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-11-13
Last Update Date2024-09-15
Business Address
SHELBY LEIGH BENNETT PA
1226 E 2ND ST APT 2
LONG BEACH, CA 90802-5738
Phone number: 951-956-3477
Mailing Address
SHELBY LEIGH BENNETT PA
6309 SMOKE TREE AVE
OAK PARK, CA 91377-1232
Phone number: 951-956-3477