Yulissa Banuelos

NPI #1144746025 in Ontario, Oregon

Provider Information

NPI Number: 1144746025
Entity Type: Individual
Name: Yulissa Banuelos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 22, 2017
Last Updated: Aug 22, 2017

Practice Location

Address: 702 SUNSET DR
City: Ontario
State: Oregon
ZIP Code: 97914
Phone: (541) 889-9167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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