Individual
ODESSA BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Mailing address
423 WOODLARK ST, LANCASTER, CA 93535-4017
(661) 547-2927
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-OTPYNB
CA
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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