Liza Nicole Banuelos
ActiveCalifornia license 2579
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 2579
- Status
- Active (Current)
- First issued
- June 11, 2013
- Expires
- March 31, 2027
- License holder
- Liza Nicole Banuelos
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
2425 Carson St Apt 8
Lakewood, CA 90712-4121
Lakewood, CA 90712-4121
Los Angeles County