Individual
CHRISTINE MENDOZA BANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14915 38TH DR SE UNIT I1113, BOTHELL, WA 98012-4223
(425) 647-3292
Mailing address
14915 38TH DR SE UNIT I1113, BOTHELL, WA 98012-4223
(425) 647-3292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60440480
WA
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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