Individual
JENNIFER BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11932 TOWN PARK CIR, EAGLE RIVER, AK 99577-7788
(907) 947-1118
Mailing address
11932 TOWN PARK CIR, EAGLE RIVER, AK 99577-7788
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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