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Fidel David Banuelos, DO
Student in an Organized Health Care Education/Training Program in Westlake, Ohio
NPI 1215670906

Fidel David Banuelos is a Student in an Organized Health Care Education/Training Program based in Westlake, OH. Fidel David Banuelos practices in Westlake, OH and has the professional credentials of DO. The NPI Number for Fidel David Banuelos is 1215670906 and holds a License No. (Ohio).

The current practice location address for Fidel David Banuelos is 29000 Center Ridge Rd Ste 150, Westlake, OH and can be reached out via phone at 440-827-5566.

Location: 29000 Center Ridge Rd Ste 150, Westlake, OH, 44145-5219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215670906
Provider Name
Fidel David Banuelos
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
29000 Center Ridge Rd Ste 150, Westlake, OH, 44145-5219
Phone Number
440-827-5566
Fax Number
Provider Enumeration Date
04/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29000 Center Ridge Rd Ste 150
City
Westlake
State
Ohio
Zip
44145-5219
Phone Number
440-827-5566
Fax Number
person
Provider Business Mailing Address Details
Address
29000 Center Ridge Rd Ste 150
City
Westlake
State
Ohio
Zip
44145-5219
Phone Number
440-827-5566
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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