Most Relevant Information
Provider Data
| NPI Number: | 1003204504 |
| Provider Name: | ALEXANDRA JORDAN BANDY NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 95001677 |
Most Important Dates
| Enumeration Date: | 01/06/2015 |
| Last Updated: | 01/06/2015 |
Provider Practice Location
530 W. BONITA AVE
CLAREMONT
CA
91711
Practice Location Phone/Fax
| Phone: | 7577844830 |
| Fax: |
Provider Mailing Location
530 W. BONITA AVE
CLAREMONT
CA
91711
Provider Mailing Phone/Fax
| Phone: | 7577844830 |
| Fax: |