Individual
ALEXA BANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 OLIVE AVE APT 21, LONG BEACH, CA 90806-2746
(661) 478-1750
Mailing address
2501 OLIVE AVE APT 21, LONG BEACH, CA 90806-2746
(661) 478-1750
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/04/2022
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