Fernando Benitez

NPI #1740934405 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1740934405
Entity Type: Individual
Name: Fernando Benitez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Feb 10, 2022
Last Updated: Feb 10, 2022

Practice Location

Address: 2121 1ST ST
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-3413
Phone: (651) 338-8247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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