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Individual

MR. RAMIL T BADANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNP

Contact information

Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20631
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
20631
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
20631
CA

Other

Enumeration date
11/02/2011
Last updated
11/20/2020
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