Breanda Banoth
Breanda Banoth is a Rehabilitation Practitioner in Van Nuys, California. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
14624 Sherman Way Ste 404Van Nuys, CA 91405-2289
Phone: (818) 778-5406
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1962984385 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2018 |
| Last updated in NPPES | August 31, 2018 |
| Mailing address | 14624 Sherman Way Ste 404, Van Nuys, CA 91405-2289 |
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