Ismael A Banuelos

NPI #1326844051 in Fort Lupton, Colorado

Provider Information

NPI Number: 1326844051
Entity Type: Individual
Name: Ismael A Banuelos
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 24, 2025
Last Updated: Feb 24, 2025

Practice Location

Address: 271 CORVETTE CIR
City: Fort Lupton
State: Colorado
ZIP Code: 80621-7629
Phone: (720) 530-9580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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