RENEALLIA BENNETT

PRESCOTT VALLEY, AZ
NPI1023362886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: AZ  252630)
Enumeration Date2012-11-01
Last Update Date2021-06-22
Business Address
RENEALLIA BENNETT NP
3075 N WINDSONG DR STE A
PRESCOTT VALLEY, AZ 86314-1208
Phone number: 928-350-8780
Mailing Address
RENEALLIA BENNETT NP
P.O. BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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