Bennelle James Reese

NPI #1487739363 in Lemon Grove, California

Provider Information

NPI Number: 1487739363
Entity Type: Individual
Name: Bennelle James Reese
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Oct 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7922 PALM ST
City: Lemon Grove
State: California
ZIP Code: 91945-2956
Phone: (619) 464-3488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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