MAIALISA BENNETT

IDAHO FALLS, ID
NPI1265211353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2023-09-27
Last Update Date2023-09-27
Business Address
MAIALISA BENNETT
2290 ROBB ST
IDAHO FALLS, ID 83402-2969
Phone number: 208-520-5406
Mailing Address
MAIALISA BENNETT
2290 ROBB ST
IDAHO FALLS, ID 83402-2969
Phone number: 208-520-5406
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