Individual
MRS. EVELYN BENITEZ-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S, AT
Contact information
Practice address
1301 AVENIDA CESAR CHAVEZ, MONTEREY PARK, CA 91754-6001
(323) 265-8611
Mailing address
1301 AVENIDA CESAR CHAVEZ, MONTEREY PARK, CA 91754-6001
(323) 265-8611
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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