person
Michaela B Banagan, NP
Community Health Clinic/Center in San Jose, California
NPI 1194963280

Michaela B Banagan is a Community Health Clinic/Center based in Gilroy, CA and is specialized in Community Health. Michaela B Banagan practices in San Jose, CA and has the professional credentials of NP. The NPI Number for Michaela B Banagan is 1194963280 and holds a License No. 18329 (California).

The current practice location address for Michaela B Banagan is 5671 Santa Teresa Blvd, San Jose, CA and can be reached out via phone at 408-284-2281 and via fax at 408-281-2857. You can also correspond with Michaela B Banagan through the mailing address at 7861 MURRAY AVE, GILROY, CA - 95020-4604 (mailing address contact number: 408-842-1017).

Location: 5671 Santa Teresa Blvd, San Jose, CA, 95020-4604
person
Provider Profile Details
NPI Number
1194963280
Provider Name
Michaela B Banagan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5671 Santa Teresa Blvd, San Jose, CA, 95020-4604
Phone Number
408-284-2281
Fax Number
408-281-2857
Provider Enumeration Date
01/27/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5671 Santa Teresa Blvd
City
State
Zip
95123-6512
Phone Number
408-284-2281
Fax Number
408-281-2857
person
Provider Business Mailing Address Details
Address
5671 Santa Teresa Blvd
City
State
Zip
95123-6512
Phone Number
408-284-2281
Fax Number
408-281-2857
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
18329 (California)
Definition
Definition to come...
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