MS. Jaclyn Renee Banaga I

NPI #1740368919 in Lompoc, California

Provider Information

NPI Number: 1740368919
Entity Type: Individual
Name: MS. Jaclyn Renee Banaga I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 117 N B ST
City: Lompoc
State: California
ZIP Code: 93436-6901
Phone: (805) 737-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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