Individual
TINA MARIE BENANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 GAUDET DR, MARRERO, LA 70072-4022
(985) 768-1995
(504) 533-0114
Mailing address
1412 GAUDET DR, MARRERO, LA 70072-4022
(985) 768-1995
(504) 533-0114
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/17/2006
Last updated
04/13/2020
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