Bennett, Jacqueline L
Bennett, Jacqueline L is an individual health care provider with primary practice located at 1240 Deventer Dr , La Verne CA 91750-1929. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bennett, Jacqueline L can be contacted via phone (619) 212-1940.Contact Information
Primary practice address
1240 Deventer Dr
La Verne CA 91750-1929
Phone: (619) 212-1940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1055611 | California |
Profile Details
| NPI number | 1790481315 |
|---|---|
| LBN Legal business name | Bennett, Jacqueline L |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2023 |
| Last updated | Feb 6th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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