Individual
MR. BENJAMIN ANTONIO BARRETO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12188 HESPERIA RD, VICTORVILLE, CA 92395-5822
(760) 477-2199
Mailing address
12188 HESPERIA RD, VICTORVILLE, CA 92395-5822
(760) 477-2199
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
06/28/2024
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