Individual
ANA BANUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 W CIVIC CENTER DR # 205, SANTA ANA, CA 92703-2252
(714) 245-0045
Mailing address
1202 W CIVIC CENTER DR # 205, SANTA ANA, CA 92703-2252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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