Individual
MS. KARLA ELIZABETH BANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4754 EL TESORO AVE, LAS VEGAS, NV 89121-6811
(702) 456-6909
Mailing address
4754 EL TESORO AVE, LAS VEGAS, NV 89121-6811
(702) 456-6909
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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