ALISA MAE BENGEN
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1104733427- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 8025 GRAND AVE, WEST DES MOINES, IA, 502665360
- Phone
- (515) 271-1569
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary License: IA
All Addresses
MAILING
1127 ALGONQUIN DR
CEDAR FALLS, IA, 506138163