Kristal Diane Bent, N/A

NPI #1245896547 in Venice, California

Provider Information

NPI Number: 1245896547
Entity Type: Individual
Name: Kristal Diane Bent, N/A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Credential: N/A
Enumeration Date: May 13, 2019
Last Updated: May 13, 2019

Practice Location

Address: 503 OCEAN FRONT WALK
City: Venice
State: California
ZIP Code: 90291-2403
Phone: (310) 392-3070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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