Dezella Marie Banks

NPI 1609057520 - Counselor - 101YA0400X

NPI Details
NPI 1609057520
Gender Female
Enumeration Date 11/19/2007
Last Updated 11/19/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
20930 BONITA ST
SUITE Y
CARSON CA, 90746-3680, US
Phone (310) 227-3940
Fax
Business Location
20930 BONITA ST
SUITE Y
CARSON CA, 90746-3680, US
Phone (310) 227-3940
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Dezella Marie Banks NPI is 1609057520, taxonomy code is 101YA0400X Dezella Marie Banks physically located at 20930 Bonita St, Carson CA, 90746-3680. NPI Number Dezella Marie Banks has the Individual type.

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1609057520 NPI number is provided on an as is basis without warranty of any kind. 1609057520 is maintained by the National Plan & Provider Enumeration System. The contents of Dezella Marie Banks are for informational purposes only.