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Individual

CHRISTINE L BENITEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3201 ESPINOSA DR APT 103, KISSIMMEE, FL 34741-0799
(407) 590-7589
Mailing address
3201 ESPINOSA DR APT 103, KISSIMMEE, FL 34741-0799
(407) 590-7589

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022084500
FL
Enumeration date
07/30/2018
Last updated
07/30/2018
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