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Mr. Michael Anthony Banuelos, BASOCIOLOGY
Student in an Organized Health Care Education/Training Program in Montclair, California
NPI 1205560703

Michael Anthony Banuelos is a Student in an Organized Health Care Education/Training Program based in Montclair, CA. Michael Anthony Banuelos practices in Montclair, CA and has the professional credentials of BASOCIOLOGY. The NPI Number for Michael Anthony Banuelos is 1205560703 and holds a License No. (California).

The current practice location address for Michael Anthony Banuelos is 9916 Central Ave, Montclair, CA and can be reached out via phone at 909-450-2502.

Location: 9916 Central Ave, Montclair, CA, 91763-3201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205560703
Provider Name
Michael Anthony Banuelos
Credential
BASOCIOLOGY
Provider Entity Type
Individual
Gender
Male
Address
9916 Central Ave, Montclair, CA, 91763-3201
Phone Number
909-450-2502
Fax Number
Provider Enumeration Date
07/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9916 Central Ave
City
Montclair
State
California
Zip
91763-3201
Phone Number
909-450-2502
Fax Number
person
Provider Business Mailing Address Details
Address
9916 Central Ave
City
Montclair
State
California
Zip
91763-3201
Phone Number
909-450-2502
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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