Individual
BENITO JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3403 POWERHOUSE RD, YAKIMA, WA 98902-1547
(509) 966-2253
Mailing address
3403 POWERHOUSE RD, YAKIMA, WA 98902-1547
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003862
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598997397
—
WA
Enumeration date
08/13/2009
Last updated
01/03/2023
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