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LIZA BENEDITO
Case Management >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1457015661
Individual Registrant: LIZA BENEDITO
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
200 MERCY CIRCLE CAMP PENDLETON, CA 92055-5191 US
Tel: 442-224-3390 Fax: --
Tel: 442-224-3390 Fax: --
Contact information for business:
32381 FAVARA DR TEMECULA, CA 92592-9375 US
Tel: 951-719-7903 Fax: --
Tel: 951-719-7903 Fax: --
Registration Information:
NPI: 1457015661
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WC0400X | Nursing Service Providers Registered Nurse Case Management | CA | 525186 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
