Individual
MAHOGENY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT/CNMT
Contact information
Practice address
18633 KAMANA RD, APPLE VALLEY, CA 92307-1459
(909) 531-3179
Mailing address
18633 KAMANA RD, APPLE VALLEY, CA 92307-1459
(909) 531-3179
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
99917
CA
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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