JENNIFER A BANDA

TACOMA, WA
NPI1629492673
Former NameJENNIFER A REYNICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: WA  AP60427514)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: NY  001609)
176B00000X Midwife
(Licence: NY  001609)
Enumeration Date2014-02-11
Last Update Date2016-06-07
Business Address
-- JENNIFER A BANDA CNM
1608 S J ST FLOOR 1
TACOMA, WA 98405-4930
Phone number: 253-274-7501
Mailing Address
-- JENNIFER A BANDA CNM
1608 S J ST FLOOR 1
TACOMA, WA 98405-4930
Phone number: 253-274-7501