AZITA BANANDARGAH

MADERA, CA
NPI1205549789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  NP95023261)
Enumeration Date2022-12-30
Last Update Date2022-12-30
Business Address
AZITA BANANDARGAH
1003 RIDGELINE RD W
MADERA, CA 93636-8152
Phone number: 310-717-0039
Mailing Address
AZITA BANANDARGAH
1003 RIDGELINE RD W
MADERA, CA 93636-8152
Phone number: 310-717-0039