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1780342675
BANISHA MONAY EVANS
ELK GROVE, CA
NPI
1780342675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
202K00000X Phlebology
(Licence: CA CPA02209141)
Enumeration Date
2021-12-07
Last Update Date
2021-12-07
Business Address
BANISHA MONAY EVANS CPT LL
8674 NEMEA WAY
ELK GROVE, CA 95624-3444
Phone number: 510-859-6555
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Mailing Address
BANISHA MONAY EVANS CPT LL
8674 NEMEA WAY
ELK GROVE, CA 95624-3444
Phone number: 510-859-6555
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