Chablis Bennett

NPI #1588052310 in Irving, Texas

Provider Information

NPI Number
1588052310
Entity Type
Individual
Name
Chablis Bennett
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician, Other
Enumeration Date
Jan 1, 2015
Last Updated
Jan 4, 2015

Practice Location

Address
400 E ROYAL LN BLDG 3
Address 2
STE 290
City
Irving
State
Texas
ZIP Code
75039-3540
Phone
(855) 832-6727

Specialties & Taxonomy Codes

Specialty
Technician, Other

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