Individual
MRS. JANELLE J BENITEZ
Active
Individual
MRS. JANELLE J BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001242210
VA
163W00000X
Registered Nurse
RN1026628
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
7259363-4406
UT
Other
Enumeration date
11/01/2014
Last updated
10/03/2018
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