Individual
MISS ANN ELIZABETH BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1300 HOSPITAL LOOP, BELCOURT, ND 58316-0160
(701) 477-6111
(701) 477-2500
Mailing address
PO BOX 160, BELCOURT, ND 58316-0160
(701) 477-6111
(701) 477-2500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003094
PA
Other
Enumeration date
08/08/2015
Last updated
07/12/2018
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