Individual
ALEXA BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4542 E INVERNESS AVE, SUITE C-3, MESA, AZ 85206
(308) 991-3675
Mailing address
4542 E INVERNESS AVE, SUITE C-3, MESA, AZ 85206
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5947
AZ
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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