Individual
MR. JAYZON BELENO BANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2775 MESA VERDE DR E APT H207, COSTA MESA, CA 92626-4985
(714) 270-1982
Mailing address
2775 MESA VERDE DR E APT H207, COSTA MESA, CA 92626-4985
(714) 270-1982
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
212080
CA
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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