Individual
ESEQUIEL BENAVIDES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2133 3RD AVE, SEATTLE, WA 98121-2385
(206) 223-3644
(206) 223-1482
Mailing address
903 UNION ST APT 607, SEATTLE, WA 98101-1912
(253) 224-5948
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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