Individual provider · Type 1 NPI
Benta Jean Fries
Prosthetics Case Management · Fresno, CA
NPI number
1619278967
Active
Practice location
7055 N Maple Ave, Suite 108
Fresno, CA 93720-8012
Fax (559) 765-4405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | CFM01790 (CA) |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
About NPI 1619278967
Benta Jean Fries's National Provider Identifier is 1619278967, issued on Nov 3, 2010. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Fresno, CA. The record was last updated on Nov 19, 2015.