JASON BANUELOS

PHOENIX, AZ
NPI1699414870
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  9366)
Enumeration Date2022-06-03
Last Update Date2023-12-12
Business Address
JASON BANUELOS PA
435 N 5TH ST
PHOENIX, AZ 85004-2157
Phone number: 602-827-2450
Mailing Address
JASON BANUELOS PA
12217 N 129TH DR
EL MIRAGE, AZ 85335-6270
Phone number: 623-414-8631
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