Individual
AGNES DUMAUA BANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2340 HONOLULU AVE, MONTROSE, CA 91020-1822
(818) 952-2294
Mailing address
2340 HONOLULU AVE, MONTROSE, CA 91020-1822
(818) 952-2294
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27720
CA
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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