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Individual

MRS. ANGELA JEAN BENES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., SLP-CCC

Contact information

Practice address
4100 JURUPA ST, SUITE 108, ONTARIO, CA 91761-1420
(909) 390-1313
(909) 390-1311
Mailing address
4100 JURUPA ST, SUITE 108, ONTARIO, CA 91761-1420
(909) 390-1313
(909) 390-1311

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP16940
CA

Other

Enumeration date
04/08/2010
Last updated
06/24/2015
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