Individual
MARIO BANUELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 NORTHWEST AVE STE 6, BELLINGHAM, WA 98225-1363
(360) 602-1733
Mailing address
3201 NORTHWEST AVE STE 6, BELLINGHAM, WA 98225-1363
(360) 602-1733
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171R00000X
Interpreter
—
—
172V00000X
Community Health Worker
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374J00000X
Doula
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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