Individual
MRS. NATHALY BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2503 GREGG DR, EDINBURG, TX 78542-0743
(956) 249-1636
Mailing address
4004 N JACKSON RD, PHARR, TX 78577-4962
(956) 683-9329
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
38721
TX
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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