Individual
GABRIELLE ELIZABETH BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 US ROUTE 66 W STE C, MORIARTY, NM 87035-1039
(505) 226-1509
Mailing address
9400 TOUCAN PL NW, ALBUQUERQUE, NM 87114-3612
(505) 314-6572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
INTERN
NM
Other
Enumeration date
02/04/2025
Last updated
05/14/2026
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