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Individual

LINDA JO BANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3347 E MARTINEZ RD, MORIARTY, NM 87035-8151
(505) 440-9329
Mailing address
PO BOX 3438, MORIARTY, NM 87035-3438
(505) 440-9329

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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