Individual
JEANINA KAY BANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3458 NEELY RD, JB MDL, NJ 08641-5312
(760) 708-2016
Mailing address
3458 NEELY RD, JB MDL, NJ 08641-5312
(866) 377-2778
(609) 754-9503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
09/17/2025
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