Masum Abdul Khabir Bennerson, PRC
NPI #1255933297 in Perris, California
Provider Information
- NPI Number
- 1255933297
- Entity Type
- Individual
- Name
- Masum Abdul Khabir Bennerson, PRC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Credential
- PRC
- Enumeration Date
- Nov 13, 2020
- Last Updated
- Nov 13, 2020
Practice Location
- Address
- 85 RAMONA EXPY STE 123
- City
- Perris
- State
- California
- ZIP Code
- 92571-7014
- Phone
- (951) 349-4195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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