EDNER BANAL ESTRELLA

GLENDALE, CA
NPI1942848759
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  3824)
Enumeration Date2019-12-12
Last Update Date2019-12-12
Business Address
EDNER BANAL ESTRELLA
201 ALLEN AVE
GLENDALE, CA 91201-2803
Phone number: 818-845-8507
Mailing Address
EDNER BANAL ESTRELLA
24307 VERDUGO CIR
VALENCIA, CA 91354-4401
Phone number: