Individual
CLAUDETTE BANARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 E. DEL MAR BLVD., #112, PASADENA, CA 91105
(626) 564-2700
(626) 564-2770
Mailing address
812 1/2 S GLENOAKS BLVD, BURBANK, CA 91502-1525
(818) 206-8267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10486
CA
390200000X
Student in an Organized Health Care Education/Training Program
10486
CA
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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