Individual
JENNIFER BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1807 S SUNVIEW, MESA, AZ 85206-3634
(480) 440-1031
Mailing address
1329 N PALMSPRINGS DR, GILBERT, AZ 85234-8518
(480) 440-1031
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
AZ
172V00000X
Community Health Worker
Primary
0000000156
AZ
Other
Enumeration date
09/26/2023
Last updated
03/20/2024
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