Individual
MS. BENTA JEAN FRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7055 N MAPLE AVE, SUITE 108, FRESNO, CA 93720-8012
(559) 432-7199
(559) 765-4405
Mailing address
7055 N MAPLE AVE, SUITE 108, FRESNO, CA 93720-8012
(559) 432-7199
(559) 765-4405
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CFM01790
CA
Other
Enumeration date
11/03/2010
Last updated
11/19/2015
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