Individual
SEREEN BANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N SAGE ST APT 323, DAVIS, CA 95616-7355
(661) 600-2644
Mailing address
301 N SAGE ST APT 224, DAVIS, CA 95616-7357
(661) 600-2644
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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