Individual
FELICIA BANAHENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22365 BARTON RD STE 302, GRAND TERRACE, CA 92313-5078
(909) 386-2858
Mailing address
16408 VALENCIA AVE UNIT 715, FONTANA, CA 92335-7854
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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