Individual
EDUARDO BANDERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1309 10TH AVE, GREELEY, CO 80631-3832
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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