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Individual

MARIO BENITEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1340 HIGHLAND AVE, DUARTE, CA 91010-2520
(626) 256-4654
Mailing address
7103 HALRAY AVE, WHITTIER, CA 90606-2017
(562) 445-5756

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10403
CA

Other

Enumeration date
12/13/2019
Last updated
12/13/2019
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