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Contact Information

ISMERAI BENITEZ, CG60662276
918 E. MEAD AVE.
YAKIMA, WA98903
 Phone: 509-453-1344
 Fax: 509-453-2981
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ISMERAI BENITEZ · (Female)

NPI Number 1437502820
Status Active
Credentials CG60662276
Entity Individual
Enumeration date 07/20/2016
Last updated 01/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WA License # CG60662276
  • WA Medicaid CG60662276
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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