Individual
MRS. CRYSTAL YVETTE BENNETT
Active
Individual
MRS. CRYSTAL YVETTE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60084404
WA
225700000X
Massage Therapist
MT-09920
AZ
Other
Enumeration date
07/22/2010
Last updated
09/29/2010
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