Banuelos, Jessica Mirella

Banuelos, Jessica Mirella is an sole proprietor health care provider with primary practice located at 21520 Pioneer Blvd Ste 101 , Hawaiian Gardens CA 90716-2603. 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. Banuelos, Jessica Mirella can be contacted via phone (562) 246-5700.

Contact Information

Primary practice address
21520 Pioneer Blvd Ste 101 Hawaiian Gardens CA 90716-2603
Phone: (562) 246-5700
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1205189578
LBN Legal business name Banuelos, Jessica Mirella
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2012
Last updated Oct 23rd, 2012 - about 13 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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