Individual
VICENTE BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 EMELINE AVE # B-K, SANTA CRUZ, CA 95060-1976
(831) 454-4170
Mailing address
542 OCEAN ST STE K, SANTA CRUZ, CA 95060-6622
(831) 459-0444
(831) 459-0665
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
05/26/2026
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