Individual
ADRIANA BANUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 W ADAMS BLVD, LOS ANGELES, CA 90018-2039
(323) 432-5185
(323) 432-5086
Mailing address
14433 CALIFORNIA AVE, BALDWIN PARK, CA 91706-1741
(626) 475-0805
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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