person
Eddie Banda
Voluntary or Charitable Agency in Venice, California
NPI 1083881593

Eddie Banda is a Voluntary or Charitable Agency based in Venice, CA. Eddie Banda practices in Venice, CA. The NPI Number for Eddie Banda is 1083881593 and holds a License No. (California).

The current practice location address for Eddie Banda is 204 Hampton Drive, Venice, CA and can be reached out via phone at 310-396-6468 and via fax at 310-392-8402.

Location: 204 Hampton Drive, Venice, CA, 90291
person
Provider Profile Details
NPI Number
1083881593
Provider Name
Eddie Banda
Credential
Provider Entity Type
Individual
Gender
Male
Address
204 Hampton Drive, Venice, CA, 90291
Phone Number
310-396-6468
Fax Number
310-392-8402
Provider Enumeration Date
05/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
204 Hampton Drive
City
State
Zip
90291
Phone Number
310-396-6468
Fax Number
310-392-8402
person
Provider Business Mailing Address Details
Address
204 Hampton Drive
City
State
Zip
90291
Phone Number
310-396-6468
Fax Number
310-392-8402
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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