Individual
CARLOS J BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16901 HEATHER LN SE, YELM, WA 98597-9758
(661) 304-4310
Mailing address
16901 HEATHER LN SE, YELM, WA 98597-9758
(661) 304-4310
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC55541
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC55541
WA STATE MEDICAL INTERPRETER CERTIFICATION
WA
Enumeration date
08/02/2020
Last updated
08/02/2020
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