Search › California › 101YA0400X

Leigh Ann Bennett, R1561070524

NPI 1619795291 · on the registry since 2024 · sole proprietor

Practice

Address
2079 Salice Way
Brentwood, CA 94513
Phone
(760) 672-0771

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YS0200X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California