| Doctor Name: | CONY ROSE MANALANG BENCITO |
| NPI Number: | 1316394042 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | NP95004181 |
| Business Practice Address: | 216 E Fresno St Avenal, CA - 932041525 |
| Business Phone Number: | 5593865364 |
| Business Fax Number: | |
| Mailing Address: | 7908 Rancho Fanita Dr, Spc 8 SANTEE |
| State: | CA |
| Postal Code: | 920716408 |
| Phone Number: | 8067908158 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2016 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP95004181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |