Individual
VANESSA BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, FA
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
87802
CO
Other
Enumeration date
11/24/2006
Last updated
08/04/2015
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