Individual
ERIKA BANUELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E VIRGINIA ST, SAN JOSE, CA 95112-5857
(408) 287-6200
Mailing address
795 FOLSOM ST FL 1, SAN FRANCISCO, CA 94107-4226
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
06/10/2025
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