Individual
MILINA BANUELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 SLEEPY HOLLOW LOOP, GRANTS PASS, OR 97527-9582
(541) 659-8164
Mailing address
302 MERLOT DR, CAVE JUNCTION, OR 97523-9207
(541) 660-6451
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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