Individual
CRYSTAL MONIQUE BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 SE MILITARY DR, SAN ANTONIO, TX 78214-2823
(210) 921-4200
Mailing address
1221 BROADWAY ST UNIT 306, SAN ANTONIO, TX 78215-1327
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
33644
TX
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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