Individual
SOFIA BUENAVENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-5631
Mailing address
11510 CONESTOGA LANE CT, HOUSTON, TX 77066-3819
(832) 247-2596
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036161954
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2018
Last updated
11/03/2022
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