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Individual

BENITA CHILIKWELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1402 N ALVERNON WAY, SUITE S3, TUCSON, AZ 85712-3804
(520) 406-0788
Mailing address
10282 E GRAY HAWK DR, TUCSON, AZ 85730-6116
(520) 406-0788

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
148861
AK
164W00000X
Licensed Practical Nurse
Primary
LP049532
AZ

Other

Enumeration date
12/01/2014
Last updated
02/03/2020
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