MICHELLE M BANTA

SAN DIEGO, CA
NPI1588740138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: CA  G48751)
Enumeration Date2006-10-27
Last Update Date2008-02-25
Business Address
DR. MICHELLE M BANTA M.D.
4060 FOURTH AVE SUITE 330
SAN DIEGO, CA 92103-2116
Phone number: 619-291-2274
Mailing Address
DR. MICHELLE M BANTA M.D.
4060 FOURTH AVE SUITE 330
SAN DIEGO, CA 92103-2116
Phone number: 619-291-2274
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