Individual
MRS. BLANCA ESTELA BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
658 E BRIER DR STE 250, SAN BERNARDINO, CA 92408-2875
(909) 838-0359
Mailing address
658 E BRIER DR STE 250, SAN BERNARDINO, CA 92408-2875
(909) 580-3705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2020
Last updated
05/09/2025
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