Individual
MS. TAMARA BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1649 CATALINA DR, SAN ANGELO, TX 76901-1001
(325) 650-1480
Mailing address
1649 CATALINA DR, SAN ANGELO, TX 76901-1001
(325) 650-1480
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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