Search › California › 363LF0000X
Mara Banuelos, FNP
NPI 1619721578 · on the registry since 2024 · sole proprietor
Practice
- Address
- 12296 Roswell Ave
Chino, CA 91710 - Phone
- (626) 348-7920
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California