Individual
CHLOE BANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2510 MAIN ST STE 209, SANTA MONICA, CA 90405-3583
(619) 917-6930
Mailing address
1848 12TH ST APT 1, SANTA MONICA, CA 90404-4632
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
18291
CA
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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