Individual
DR. KALIO STEPHANIE BENAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, PA-C
Contact information
Practice address
406 S 30TH AVE STE 101, YAKIMA, WA 98902-3713
(509) 248-7715
Mailing address
2811 TIETON DR, YAKIMA, WA 98902-3799
(509) 575-8255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P7456
ID
183500000X
Pharmacist
PH60637813
WA
363A00000X
Physician Assistant
Primary
PA61366477
WA
Other
Enumeration date
08/29/2016
Last updated
08/09/2023
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