Individual
MR. GEORGE ANTHONY BAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NA
Contact information
Practice address
3519 KOA WAY, AUBURN, CA 95602-2507
(916) 889-5512
Mailing address
3519 KOA WAY, AUBURN, CA 95602-2507
(916) 889-5512
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
D4957513
CA
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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