BREANDA BANOTH

VAN NUYS, CA
NPI1962984385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2018-08-31
Last Update Date2018-08-31
Business Address
BREANDA BANOTH
14624 SHERMAN WAY STE 404
VAN NUYS, CA 91405-2289
Phone number: 818-778-5406
Mailing Address
BREANDA BANOTH
14624 SHERMAN WAY STE 404
VAN NUYS, CA 91405-2289
Phone number: