Banda, Ray Allen

Banda, Ray Allen is an sole proprietor health care provider with primary practice located at 644A Puller Pl , San Clemente CA 92672-2563. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Banda, Ray Allen can be contacted via phone (760) 994-4747.

Contact Information

Primary practice address
644A Puller Pl San Clemente CA 92672-2563
Phone: (760) 994-4747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1720349871
LBN Legal business name Banda, Ray Allen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2012
Last updated Jun 5th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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