GLENN ANTHONY BENAVIDEZ

BELEN, NM
NPI1871184671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-02-03
Last Update Date2021-02-03
Business Address
GLENN ANTHONY BENAVIDEZ
1300 EAST RIVER RD.
BELEN, NM 87002-8706
Phone number: 505-312-0040
Mailing Address
GLENN ANTHONY BENAVIDEZ
PO BOX 292
TOME, NM 87060-0292
Phone number: 505-312-0040