Individual
DESIREE BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 CRESCENT DR, ALAMOGORDO, NM 88310-3836
(575) 921-6179
Mailing address
1817 CRESCENT DR, ALAMOGORDO, NM 88310-3836
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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