Individual provider · Type 1 NPI
Mara Jasmin Banuelos, FNP
Family Nurse Practitioner · Chino, CA
NPI number
1619721578
Active
Practice location
12296 Roswell Ave
Chino, CA 91710-2046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95029296 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1619721578
Mara Jasmin Banuelos, FNP's National Provider Identifier is 1619721578, issued on Apr 16, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chino, CA. The record was last updated on Apr 16, 2024.