Ray Allen Banda
NPI #1720349871 in San Clemente, California
Provider Information
- NPI Number
- 1720349871
- Entity Type
- Individual
- Name
- Ray Allen Banda
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Jun 5, 2012
- Last Updated
- Jun 5, 2012
Practice Location
- Address
- 644A PULLER PL
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-2563
- Phone
- (760) 994-4747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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