Individual
WILLIAM BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA, BSW
Contact information
Practice address
1650 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1726
(505) 814-4717
Mailing address
1650 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1726
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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