| Nicole Banks | |
|
314 Wyndhurst Ave Baltimore MD 21210-2416 | |
| (443) 914-3425 | |
| Not Available |
| Full Name | Nicole Banks |
|---|---|
| Speciality | Counselor |
| Location | 314 Wyndhurst Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Nicole Banks (COUNSELOR/OWNER) |
| Authorized Official Contact | 4439143425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Banks 214 Commodore Way Odenton MD 21113-2607 Ph: (443) 804-4924 | Nicole Banks 314 Wyndhurst Ave Baltimore MD 21210-2416 Ph: (443) 914-3425 |
| NPI Number | 1639744840 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 05/21/2021 |
| Certification Date | 05/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639744840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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