Banuelos, Nicole M

Banuelos, Nicole M is an individual health care provider with primary practice located at 2625 Townsgate Rd Ste 102 , Westlake Village CA 91361-5726. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Banuelos, Nicole M can be contacted via phone (805) 413-3009.

Contact Information

Primary practice address
2625 Townsgate Rd Ste 102 Westlake Village CA 91361-5726
Phone: (805) 413-3009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1720779804
LBN Legal business name Banuelos, Nicole M
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2023
Last updated May 18th, 2023 - about last year

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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