Individual
VICENTE AUDONI BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2145 NILES ST, BAKERSFIELD, CA 93305-5007
(661) 327-5984
(661) 327-2541
Mailing address
2145 NILES ST, BAKERSFIELD, CA 93305-5007
(661) 327-5984
(661) 327-2541
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22414
CA
Other
Enumeration date
03/06/2012
Last updated
07/31/2019
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