KELLY ANN BANTA

OAKLAND, CA
NPI1811573819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: CA  A196876)
Enumeration Date2021-03-20
Last Update Date2025-06-16
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
4725 1ST ST STE 100
PLEASANTON, CA 94566-7366
Phone number:
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