Organization
VANESSA T BENAVIDEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA T BENAVIDEZ CST, FA (OWNER)
(719) 671-4342
Entity
Organization
Contact information
Practice address
2236 NORWICH AVE, PUEBLO, CO 81003-1058
(719) 671-4342
(719) 543-4787
Mailing address
PO BOX 76510, COLORADO SPRINGS, CO 80970-6510
(719) 638-8844
(719) 638-8115
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
87802
CO
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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