Individual
LARISA ANDRADA BENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85724
(520) 626-7944
(520) 626-5652
Mailing address
1501 N CAMPBELL AVENUE, PO BOX 245073, TUCSON, AZ 85724-5073
(520) 626-7944
(520) 626-5652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R80927
AZ
Other
Enumeration date
05/06/2024
Last updated
11/26/2024
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