Individual
JULIE BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2538 SAN ANSELMO ST, SAN DIEGO, CA 92109-2314
(951) 741-4720
Mailing address
2538 SAN ANSELMO ST, SAN DIEGO, CA 92109-2314
(951) 741-4720
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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