MICHAEL ANTHONY BANUELOS

POMONA, CA
NPI1205560703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  ASW123584)
Enumeration Date2022-07-12
Last Update Date2024-08-05
Business Address
MR. MICHAEL ANTHONY BANUELOS MSW
1900 ROYALTY DR STE 180
POMONA, CA 91767-3046
Phone number: 909-766-7340
Mailing Address
MR. MICHAEL ANTHONY BANUELOS MSW
9916 CENTRAL AVE
MONTCLAIR, CA 91763-3201
Phone number: 909-450-2502