Individual
DAISY BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15095 AMARGOSA RD STE 201, VICTORVILLE, CA 92394-1875
(760) 245-4695
Mailing address
15095 AMARGOSA RD STE 201, VICTORVILLE, CA 92394-1875
(760) 245-4695
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
04/11/2025
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