Individual
JODIE RAINE BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 CHATEAU ROYALE CT, MORGANTOWN, WV 26505-1854
(347) 816-1723
Mailing address
701 CHATEAU ROYALE CT, MORGANTOWN, WV 26505-1854
(347) 816-1723
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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