BENNETT BIRD

PORTERVILLE, CA
NPI1962071290
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies208D00000X General Practice
(Licence: CA  20384)
Enumeration Date2021-06-21
Last Update Date2023-01-29
Business Address
BENNETT BIRD DO
465 W PUTNAM AVE
PORTERVILLE, CA 93257-3320
Phone number: 559-784-1110
Mailing Address
BENNETT BIRD DO
465 W PUTNAM AVE
PORTERVILLE, CA 93257-3320
Phone number: