Individual
TAMMY LYNN BENAVIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7700 RENFREW LN, COCONUT CREEK, FL 33073-3508
(800) 736-3739
Mailing address
7700 RENFREW LN, COCONUT CREEK, FL 33073-3508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9293145
FL
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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