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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA MIRELLA BANUELOS

Active Sole Proprietor

JESSICA MIRELLA BANUELOS is a Occupational Therapy Assistant healthcare provider located in HAWAIIAN GARDENS, California. NPI 1205189578 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · HAWAIIAN GARDENS, CA

Registration Details

NPI Number
1205189578
Provider Type
Individual
Gender
Female
NPI Issued
Oct 23, 2012 (13.781470398699 yrs)
Last Updated
Oct 23, 2012
Sole Proprietor
Yes

Practice Information

Address
21520 PIONEER BLVD STE 101
HAWAIIAN GARDENS, CA, 907162603
Browse CA providers · Browse ZIP 90716
Phone
5622465700
Primary Specialty
Occupational Therapy Assistant
225400000X

Other Occupational Therapy Assistant Providers in HAWAIIAN GARDENS, CA

Name Credential NPI
JASMIN SALAZAR 1427343854
MRS. SOFIA MARIE MARTINEZ I A.A. 1073861282
FABIAN BARAJAS GONZALEZ 1497184139
MISS YESENIA CHAVEZGONZALEZ 1891276234
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.