Individual
MRS. WENDY MARISOL BANSAL
Active
Individual
MRS. WENDY MARISOL BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
012338
NY
363AM0700X
Medical Physician Assistant
Primary
PA-9106461
FL
363AM0700X
Medical Physician Assistant
PA2010-0045
NM
Other
Enumeration date
01/23/2008
Last updated
06/19/2023
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