NPI Profile for EVAGRIO P BENCITO in CARSON, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
364SA2100X | 89 | Certified Clinical Nurse Specialist | |
Registered Nurse |
163W00000X |
| NPI # | 1992965891 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/13/2008 | |
| Last updated | 06/13/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EVAGRIO P BENCITO
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