Individual
CYNTHIA BANUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12200 BELLFLOWER BLVD, DOWNEY, CA 90242-2804
(562) 622-4195
Mailing address
20821 SEINE AVE APT 3, LAKEWOOD, CA 90715-2811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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