Individual
ANA LILIA BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2813 S MAIN ST, CORONA, CA 92882-5942
(951) 737-2962
Mailing address
2813 S MAIN ST, CORONA, CA 92882-5942
(951) 737-2962
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-PAZDEU
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/29/2016
Last updated
03/08/2023
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