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Individual

MISS AIMEE NICOLE BENITEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9500 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5807
(909) 980-6700
Mailing address
25910 ACERO STE 160, MISSION VIEJO, CA 92691-2777
(909) 319-4514

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
175T00000X
Peer Specialist
225400000X
Rehabilitation Practitioner
Primary
372600000X
Adult Companion

Other

Enumeration date
03/19/2019
Last updated
04/30/2025
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