Individual
BENEDICT CARILLO ABAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC, FNP-C
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1467
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95022123
CA
Other
Enumeration date
08/09/2022
Last updated
04/02/2024
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