CHANEL AGNES BANEZ

ENCINO, CA
NPI1588962187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: CA  2923)
Additional Taxonomies225400000X Rehabilitation Practitioner
(Licence: NV  1603977772)
Enumeration Date2011-03-05
Last Update Date2015-04-15
Business Address
-- CHANEL AGNES BANEZ
16500 VENTURA BLVD SUITE 414
ENCINO, CA 91436-2011
Phone number: 818-788-1003
Mailing Address
-- CHANEL AGNES BANEZ
16500 VENTURA BLVD SUITE 414
ENCINO, CA 91436-2011
Phone number: