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EMILY BALANDRA
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1427427319
Individual Registrant: EMILY BALANDRA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3102 E HIGHLAND AVE PATTON, CA 92369-7813 US
Tel: 909-425-7000 Fax: --
Tel: 909-425-7000 Fax: --
Contact information for business:
PO BOX 414 PATTON, CA 92369-0414 US
Tel: 909-425-7000 Fax: --
Tel: 909-425-7000 Fax: --
Registration Information:
NPI: 1427427319
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program | CA | D8486194 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
