Individual
REBECCA IRIDIAN BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 W 5TH ST, ODESSA, TX 79761-5034
(432) 332-1623
Mailing address
3004 RANCHLAND AVE, ODESSA, TX 79764-7456
(432) 212-1754
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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