Individual
BEVERLY BENAVIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2657 STONECROP RIDGE GRV, COLORADO SPRINGS, CO 80910-4459
(719) 291-8508
Mailing address
2657 STONECROP RIDGE GRV, COLORADO SPRINGS, CO 80910-4459
(719) 291-8508
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
171W00000X
Contractor
619004
CO
174H00000X
Health Educator
—
—
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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