BRENT P WENTWORTH

SOQUEL, CA
NPI1982163002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A19546)
Enumeration Date2019-03-18
Last Update Date2022-07-25
Business Address
BRENT P WENTWORTH DO
4700 SOQUEL DR
SOQUEL, CA 95073-2427
Phone number: 831-888-9410
Mailing Address
BRENT P WENTWORTH DO
3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
Phone number:
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