Individual
MRS. STEPHANIE MICHELLE BANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
2251 S OTONDO DR, YUMA, AZ 85365-8843
(928) 344-0979
Mailing address
14339 E 50TH ST, YUMA, AZ 85367-8296
(928) 344-0979
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN135143
AZ
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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