| Adele Marie Ngo Banack, | |
|
1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-2018 | |
| (678) 851-9972 | |
| Not Available |
| Full Name | Adele Marie Ngo Banack |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 1755 N Brown Rd Ste 200, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972260735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT006744 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Adele Marie Ngo Banack, 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-2018 Ph: (678) 851-9972 | Adele Marie Ngo Banack, 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-2018 Ph: (678) 851-9972 |
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