Individual
JESSICA K BENALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-3414
Mailing address
MSC10 5580 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-2719
(505) 272-5580
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/02/2021
Last updated
04/06/2023
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