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Individual

DR. JACQUELIN ESCOTO BENITEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
215 LILLY RD NE, OLYMPIA, WA 98506-5030
(360) 923-4333
(360) 456-3894
Mailing address
7619 RUSHMORE WAY NE, LACEY, WA 98516-1340

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
10219T
TX
152W00000X
Optometrist
Primary
OD61291177
WA

Other

Enumeration date
08/01/2021
Last updated
01/14/2025
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