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:
Health care specialties
Specialty | Code | License # | 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 12 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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