Search › California › 101YM0800X
Jesse Banuelos
NPI 1174186928 · on the registry since 2019 · sole proprietor
Practice
- Address
- 10535 Road 35
Madera, CA 93636 - Phone
- (559) 645-1110
- Organisation at this address
- Valley Teen Ranch
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 43
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2019-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California