JOSEPH MICA BENAVIDES

OAK HILLS, CA
NPI1821587684
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AK  116671)
Enumeration Date2018-05-08
Last Update Date2018-05-08
Business Address
JOSEPH MICA BENAVIDES
6425 COLUMBINE RD.
OAK HILLS, CA 92344
Phone number: 760-686-7837
Mailing Address
JOSEPH MICA BENAVIDES
6425 COLUMBINE RD
OAK HILLS, CA 92344-0753
Phone number: