Individual
YESENIA BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502-7208
(360) 918-3062
Mailing address
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502-7208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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