Individual
CHANTAL BANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
828 W JADE WAY, ANAHEIM, CA 92805-2420
(714) 727-8152
Mailing address
828 W JADE WAY, ANAHEIM, CA 92805-2420
(714) 727-8152
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
760661
CA
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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