Benjaline Medlock

NPI #1881129096 in Sahuarita, Arizona

Provider Information

NPI Number: 1881129096
Entity Type: Individual
Name: Benjaline Medlock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Apr 25, 2017
Last Updated: Apr 25, 2017

Practice Location

Address: 642 W CAMINO CURVITAS
City: Sahuarita
State: Arizona
ZIP Code: 85629-8257
Phone: (520) 971-9452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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