Individual
FELICIA RENEE BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2200 CAMPBELL ST, COMMERCE, TX 75428-3319
(903) 468-3074
Mailing address
1509 WALNUT ST, COMMERCE, TX 75428-3345
(469) 226-4937
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5303
TX
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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