Chanel Agnes Banez

NPI 1588962187 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1588962187
Gender Female
Enumeration Date 03/05/2011
Last Updated 04/15/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
16500 VENTURA BLVD
SUITE 414
ENCINO CA, 91436-2011, US
Phone (818) 788-1003
Fax
Business Location
16500 VENTURA BLVD
SUITE 414
ENCINO CA, 91436-2011, US
Phone
Fax
Toxanomy
Taxonomy Code 225400000X
License State Nevada
License Number 1603977772
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According to our database, Chanel Agnes Banez NPI is 1588962187, taxonomy code is 225400000X and license number is 1603977772, license state is located at Nevada. Chanel Agnes Banez physically located at 16500 Ventura Blvd, Encino CA, 91436-2011. NPI Number Chanel Agnes Banez has the Individual type.

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1588962187 NPI number is provided on an as is basis without warranty of any kind. 1588962187 is maintained by the National Plan & Provider Enumeration System. The contents of Chanel Agnes Banez are for informational purposes only.