Individual
REBECCA BANUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1442 ETHAN WAY STE 200, SACRAMENTO, CA 95825-2232
(916) 482-4856
Mailing address
1442 ETHAN WAY SUITE 200, SACRAMENTO, CA 95825
(361) 463-9584
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
95067857
CA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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