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Individual

MRS. JANELLE J BENITEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3000 N TRIUMPH BLVD, LEHI, UT 84043-4999
(385) 345-3000
(770) 701-6676
Mailing address
PO BOX 3750, SALT LAKE CITY, UT 84110-3750
(800) 748-4868
(770) 701-6676

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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