Individual
HANNAH LAUREL ROSE BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 EDWARDS VILLAGE BLVD, EDWARDS, CO 81632-5277
(563) 213-3204
Mailing address
210 EDWARDS VILLAGE BLVD, EDWARDS, CO 81632-5277
(563) 213-3204
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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