SearchPennsylvania374U00000X

Jajuan Bennett

NPI 1275190803 · on the registry since 2019

Practice

Address
206 W Albanus St
Philadelphia, PA 19120
Phone
(888) 609-9994

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-20

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 Pennsylvania