Individual
MILDRED DURANO BANZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4929 VAN NUYS BLVD STE 403, SHERMAN OAKS, CA 91403-1702
(818) 981-7111
Mailing address
1480 VINE ST APT 603, LOS ANGELES, CA 90028-8160
(818) 339-3595
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1154917
CA
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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