Provider Demographics
NPI:1225851264
Name:BENITEZ, JOSEFA ERICA (MEDICAL ASSISTANT)
Entity type:Individual
Prefix:
First Name:JOSEFA
Middle Name:ERICA
Last Name:BENITEZ
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3708 W BIRCHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-9527
Mailing Address - Country:US
Mailing Address - Phone:509-594-7213
Mailing Address - Fax:
Practice Address - Street 1:212 S 6TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3303
Practice Address - Country:US
Practice Address - Phone:509-573-2559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide