Individual
BONITA LANAE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1300 NIAGARA ST, BUFFALO, NY 14213-1503
(716) 882-2127
(716) 882-9277
Mailing address
1300 NIAGARA ST, BUFFALO, NY 14213-1503
(716) 882-2127
(716) 882-9277
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310179
NY
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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