MIRA BANSIL

BALDWIN PARK, CA
NPI1306994215
Former NameMIRA MAKAREM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA15506)
Enumeration Date2007-01-08
Last Update Date2021-12-14
Business Address
MIRA BANSIL PA
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706-5806
Phone number: 626-851-1011
Mailing Address
MIRA BANSIL PA
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706-5806
Phone number: 626-851-1011
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