Individual
BENJAMIN LELAND BALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 W PRICE RIVER DR, PRICE, UT 84501-2839
(435) 637-2991
Mailing address
630 W PRICE RIVER DR, PRICE, UT 84501-2839
(435) 637-2991
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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