Individual
BENBENEDIC MONTOYA AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCSN
Contact information
Practice address
2095, 2095 PARALTA AVENUE, SEASIDE, CA 93955
(956) 639-2290
(831) 796-7036
Mailing address
2095 PARALTA AVE, SEASIDE, CA 93955-3424
(956) 639-2290
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
180206474
CA
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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