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Melissa Banuelos

NPI 1528930914 · on the registry since 2025

Practice

Address
39999 Blacow Rd
Fremont, CA 94538
Phone
(510) 657-4070
Organisation at this address
City Of Fremont
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171400000X
171400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-23

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