DIVYA BANSAL

MONTGOMERY, AL
NPI1619369774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL  L.4102R)
Enumeration Date2015-02-26
Last Update Date2015-02-26
Business Address
-- DIVYA BANSAL D.O.
4371 NARROW LANE RD STE 100
MONTGOMERY, AL 36116-2975
Phone number: 334-613-3680
Mailing Address
-- DIVYA BANSAL D.O.
4371 NARROW LANE RD STE 100
MONTGOMERY, AL 36116-2975
Phone number: 334-613-3680