Individual
MARICARMEN BANUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 CAMFIELD AVE, LOS ANGELES, CA 90040
(323) 597-2831
Mailing address
2040 CAMFIELD AVE, COMMERCE, CA 90040-1502
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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