LISA M BANUELOS

VALLEJO, CA
NPI1144013616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  95290679)
Enumeration Date2025-05-27
Last Update Date2025-05-27
Business Address
LISA M BANUELOS NP
100 HOSPITAL DR FL 2
VALLEJO, CA 94589-2580
Phone number: 707-427-4900
Mailing Address
LISA M BANUELOS NP
1318 THRASHER WAY
SUISUN CITY, CA 94585-3019
Phone number: 707-246-9954
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