Maialisa Bennett
Maialisa Bennett is an Attendant Care Provider in Idaho Falls, Idaho. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2290 Robb StIdaho Falls, ID 83402-2969
Phone: (208) 520-5406
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1265211353 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 27, 2023 |
| Last updated in NPPES | September 27, 2023 |
| Certification date | September 27, 2023 |
| Mailing address | 2290 Robb St, Idaho Falls, ID 83402-2969 |