Individual
BENITA AIFUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1150 RED JOHN DR, DAYTONA BEACH, FL 32124-1016
(386) 236-3183
Mailing address
2532 KELMAN PL, DACULA, GA 30019-7099
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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