Masum Abdul Khabir Bennerson, PRC
Masum Abdul Khabir Bennerson, PRC is a Peer Specialist in Perris, California. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
85 Ramona Expy Ste 123Perris, CA 92571-7014
Phone: (951) 349-4195
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1255933297 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PRC |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2020 |
| Last updated in NPPES | November 13, 2020 |
| Certification date | November 13, 2020 |
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