Organization
BENTA JEAN FRIES BENTA LINGERIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENTA JEAN FRIES ABOP (OWNER)
(559) 432-7199
Entity
Organization
Contact information
Practice address
5610 N PALM AVE, SUITE 105, FRESNO, CA 93704-1825
(559) 432-7199
(559) 432-0799
Mailing address
5610 N PALM AVE, SUITE 105, FRESNO, CA 93704-1825
(559) 432-7199
(559) 432-0799
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/03/2007
Last updated
06/17/2008
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