ERNESTO BANUELOS

REDMOND, OR
NPI1942075825
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  10235654)
Enumeration Date2023-11-20
Last Update Date2023-11-20
Business Address
ERNESTO BANUELOS RD
219 NW 6TH ST STE 3
REDMOND, OR 97756-1755
Phone number: 909-827-0670
Mailing Address
ERNESTO BANUELOS RD
219 NW 6TH ST STE 3
REDMOND, OR 97756-1755
Phone number: 909-827-0670
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