Most Relevant Information
Provider Data
| NPI Number: | 1003349804 |
| Provider Name: | BENJAMIN VILLARREAL CAMACHO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/07/2017 |
| Last Updated: | 06/29/2022 |
Provider Practice Location
525 W ACACIA ST
STOCKTON
CA
952032405
Practice Location Phone/Fax
| Phone: | 2099445550 |
| Fax: |
Provider Mailing Location
400 W MINERAL KING AVE
VISALIA
CA
932916237
Provider Mailing Phone/Fax
| Phone: | 5596242000 |
| Fax: |