# BENTA JEAN FRIES BENTA LINGERIE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912054156
- **Authorized official:** BENTA JEAN FRIES ABOP (OWNER)
- **Authorized official phone:** (559) 432-7199

## Contact information

- **Practice address:** 5610 N PALM AVE, SUITE 105, FRESNO, CA 93704-1825
- **Practice address phone:** (559) 432-7199
- **Practice address fax:** (559) 432-0799
- **Mailing address:** 5610 N PALM AVE, SUITE 105, FRESNO, CA 93704-1825
- **Mailing address phone:** (559) 432-7199
- **Mailing address fax:** (559) 432-0799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 06/17/2008