Individual
MAYA JORDAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 ABBOTT RD, ANCHORAGE, AK 99507-4314
(907) 346-2101
Mailing address
5462 SANDHILL LOOP, ANCHORAGE, AK 99502-4016
(206) 856-2411
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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