Individual
LONA JADE BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5724 OSUNA RD NE, ALBUQUERQUE, NM 87109-2527
(505) 377-5435
Mailing address
PO BOX 45681, RIO RANCHO, NM 87174-5681
(505) 377-5435
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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