Individual
KIA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 ARIZONA AVE, FT LAUDERDALE, FL 33312-7364
(786) 337-5446
Mailing address
PO BOX 15085, FT LAUDERDALE, FL 33318-5085
(786) 337-5446
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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