Jason Banks, | |
6501 Yale St Apt 806, Westland, MI 48185-4994 | |
(313) 662-8389 | |
Not Available |
Full Name | Jason Banks |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 6501 Yale St Apt 806, Westland, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225563802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703114362 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jason Banks, 6501 Yale St Apt 806, Westland, MI 48185-4994 Ph: (313) 662-8389 | Jason Banks, 6501 Yale St Apt 806, Westland, MI 48185-4994 Ph: (313) 662-8389 |
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