Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | A98469 | CA |
NPI | 1134162225 |
---|---|
Provider Name | Dr. Christina Dolores Bennett-Stewart |
First Address | San Bernardino, CA 92423-0069 |
Second Address | Redlands, CA 92373-5916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 06/02/2020 |