Individual
LIZA BENEDITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055-5191
(442) 224-3390
Mailing address
32381 FAVARA DR, TEMECULA, CA 92592-9375
(951) 719-7903
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
525186
CA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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