Luis Guillermo Banuelos SR.
NPI #1326690835 in Indio, California
Provider Information
- NPI Number
- 1326690835
- Entity Type
- Individual
- Name
- Luis Guillermo Banuelos SR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jul 15, 2019
- Last Updated
- Apr 27, 2022
Practice Location
- Address
- 44199 MONROE ST
- City
- Indio
- State
- California
- ZIP Code
- 92201-3096
- Phone
- (760) 770-2286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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