Individual
MR. ELVIS B BENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1000 BROADWAY, SUITE 210, EL CAJON, CA 92021
(619) 401-5500
(619) 401-5454
Mailing address
1000 BROADWAY, SUITE 210, EL CAJON, CA 92021
(619) 401-5500
(619) 401-5454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
454857
CA
Other
Enumeration date
12/21/2011
Last updated
03/26/2012
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