Individual
EDGAR BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
9032 SEAL BEACH DR, HESPERIA, CA 92344-5507
(909) 615-6156
Mailing address
9032 SEAL BEACH DR, HESPERIA, CA 92344-5507
(909) 615-6156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95018006
CA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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