Individual
JAZMINE GABRIELLE BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1955 N VALLEY DR, LAS CRUCES, NM 88007-5154
(575) 527-9415
Mailing address
3669 MAYA CT, LAS CRUCES, NM 88012-5100
(575) 574-2811
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
05/02/2023
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