Organization
IMPERIAL VALLEY SLEEP DISORDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOCELYNE BANDA (OWNER/ADMINISTRATOR)
(760) 352-0500
Entity
Organization
Contact information
Practice address
679 BAYWOOD ST, IMPERIAL, CA 92251-8915
(760) 352-0500
(760) 352-0579
Mailing address
PO BOX 36, EL CENTRO, CA 92244-0036
(760) 352-0500
(760) 352-0579
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
Primary
393108
CA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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