Individual
MARIANNE BANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3815 E BELL RD, PHOENIX, AZ 85032-2122
(602) 258-4321
Mailing address
2146 E ELECTRA LN, PHOENIX, AZ 85024-8608
(813) 810-2342
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2449
AZ
Other
Enumeration date
04/16/2018
Last updated
09/17/2024
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