Banoth, Breanda

Banoth, Breanda is an sole proprietor health care provider with primary practice located at 14624 Sherman Way Ste 404 , Van Nuys CA 91405-2289. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Banoth, Breanda can be contacted via phone (818) 778-5406.

Contact Information

Primary practice address
14624 Sherman Way Ste 404 Van Nuys CA 91405-2289
Phone: (818) 778-5406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1962984385
LBN Legal business name Banoth, Breanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2018
Last updated Aug 31st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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