Individual
JIMENA BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20 FAIRBANKS STE 180, IRVINE, CA 92618-1673
(949) 305-2820
Mailing address
20 FAIRBANKS STE 180, IRVINE, CA 92618-1673
(949) 305-2820
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28416
CA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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