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Individual

ANYA BENAVIDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3020 S 104TH ST, FORT SMITH, AR 72903-5355
(479) 285-8547
Mailing address
3020 S 104TH ST, FORT SMITH, AR 72903-5355

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
08/03/2023
Last updated
09/04/2023
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