Individual
DEANA MARIE BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
104 LEGION DR, LAS VEGAS, NM 87701-4804
(505) 426-3955
(505) 426-3956
Mailing address
PO BOX 339, PECOS, NM 87552-0339
(402) 415-1987
(505) 426-3956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4094
NM
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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