Individual
MARISA R BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
6801 MCPHERSON RD, SUITE #226, LAREDO, TX 78041-6402
(956) 717-0113
(956) 717-2070
Mailing address
6801 MCPHERSON RD, SUITE #226, LAREDO, TX 78041-6402
(956) 717-0113
(956) 717-2070
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
DT05576
TX
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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