Individual provider · Type 1 NPI

Holly Rose Bennett

Student in an Organized Health Care Education/Training Program · South Pasadena, CA

NPI number 1083457550 Active

Practice location

205 Pasadena Ave
South Pasadena, CA 91030-2919

Call (323) 344-5538 Map

Mailing address

22 Ardith Ln
Alamo, CA 94507-1806

Other practice locations

  • 22 Ardith Ln, Alamo, CA 94507-1806 · (925) 997-6082

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Behavior Technician 106S00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083457550

Holly Rose Bennett's National Provider Identifier is 1083457550, issued on Jun 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Pasadena, CA. The record was last updated on Oct 1, 2024.