Individual
MARLEM BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7438 OMEGA VALE, SAN ANTONIO, TX 78252-2754
(713) 269-4677
Mailing address
8446 COUNTRY VILLAGE ST APT 504, SAN ANTONIO, TX 78209-7307
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
306386
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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