KELLY ANN BANTA

OAKLAND, CA
NPI1811573819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-20
Last Update Date2021-03-29
Business Address
MRS. KELLY ANN BANTA MD
275 W MACARTHUR BLVD
OAKLAND, CA 94611-5641
Phone number: 510-752-1934
Mailing Address
MRS. KELLY ANN BANTA MD
275 W MACARTHUR BLVD
OAKLAND, CA 94611-5641
Phone number:
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