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Individual
MRS. ROLDINE BANATTE-GARCON
Active
Individual
MRS. ROLDINE BANATTE-GARCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1700269933
CA
363LF0000X
Family Nurse Practitioner
Primary
95003779
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568219855
KERN ADULT PHF
CA
Enumeration date
07/07/2015
Last updated
02/10/2025
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