Individual
MR. ANTHONY ANGEL BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 540-6500
(805) 540-6501
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 540-6500
(805) 540-6501
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
06/27/2023
Last updated
12/14/2023
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