Individual
JENNIFER BANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
16193 W DAVIS RD, SURPRISE, AZ 85374-5749
(602) 918-4351
Mailing address
16193 W DAVIS RD, SURPRISE, AZ 85374-5749
(602) 918-4351
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
03/31/2025
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