Individual
EDNER BANAL ESTRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 ALLEN AVE, GLENDALE, CA 91201-2803
(818) 845-8507
Mailing address
24307 VERDUGO CIR, VALENCIA, CA 91354-4401
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3824
CA
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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