Individual
YESENIA DE JESUS BENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 CALLE GUILLERMO RIEFKOHL, PATILLAS, PR 00723-0000
(787) 907-4388
(787) 271-0004
Mailing address
99 CALLE GUILLERMO RIEFKOHL, PATILLAS, PR 00723
(787) 907-4388
(787) 271-0004
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
003188
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003188
LICENSE NUMBER
PR
Enumeration date
09/28/2018
Last updated
09/28/2018
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