Individual
MISS SANTANA MARIA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
223 E PIEDMONT ST, CULPEPER, VA 22701-2751
(434) 409-4606
Mailing address
223 E PIEDMONT ST, CULPEPER, VA 22701-2751
(434) 409-4606
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101004443
VA
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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