Individual
BANNY GISEL MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11255 CLARKMAN ST, SANTA FE SPRINGS, CA 90670-4155
(562) 413-0296
Mailing address
11255 CLARKMAN ST, SANTA FE SPRINGS, CA 90670-4155
(562) 413-0296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95019826
CA
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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