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Individual

CLAUDETTE MARIE BANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1590 ROSECRANS AVE STE D617, MANHATTAN BEACH, CA 90266-3727
(310) 360-7200
(424) 237-3204
Mailing address
1590 ROSECRANS AVE STE D617, MANHATTAN BEACH, CA 90266-3727
(310) 360-7200
(424) 237-3204

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95024761
CA
367A00000X
Advanced Practice Midwife
001531
NY
367A00000X
Advanced Practice Midwife
156602
TX
367A00000X
Advanced Practice Midwife
235670
CA

Other

Enumeration date
02/04/2013
Last updated
08/07/2023
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