Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | G28488 | CA |
NPI | 1205081205 |
---|---|
Provider Name | Dr. Gene Aldrich Bennetts |
First Address | Napa, CA 94558-3819 |
Second Address | Napa, CA 94558-3819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2008 |
Last Update Date | 19/11/2008 |