Individual
CONY ROSE MANALANG BENCITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
216 E FRESNO ST, AVENAL, CA 93204-1525
(559) 386-5364
Mailing address
609 SIENA WAY, LEMOORE, CA 93245-2335
(806) 790-8158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95004181
CA
Other
Enumeration date
05/23/2016
Last updated
07/09/2016
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