Provider Demographics
NPI:1467108613
Name:BENAVIDES, ANGELICA (CERTIFIED DOULA)
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:
Last Name:BENAVIDES
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 DARBY LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1603
Mailing Address - Country:US
Mailing Address - Phone:347-299-7119
Mailing Address - Fax:
Practice Address - Street 1:28 DARBY LN
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1603
Practice Address - Country:US
Practice Address - Phone:347-299-7119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula