Individual
MRS. LEILANI BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
2315 TULLS CREEK RD, MOYOCK, NC 27958-9032
(252) 564-8809
(919) 648-2546
Mailing address
2315 TULLS CREEK RD, MOYOCK, NC 27958-9032
(252) 564-8809
(919) 648-2546
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019018934
VA
225700000X
Massage Therapist
Primary
20623
NC
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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