Individual
MR. BENJAMIN JOSEPH DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 W COLLEGE BLVD, A-8, ROSWELL, NM 88201-5135
(361) 290-3686
Mailing address
511 W COLLEGE BLVD, A-8, ROSWELL, NM 88201-5135
(361) 290-3686
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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