Individual
LUBERTA ANN BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
774 NOBLE AVE, AKRON, OH 44320-3773
(234) 237-2625
Mailing address
774 NOBLE AVE, AKRON, OH 44320-3773
(234) 237-2625
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7719006
—
OH
Enumeration date
11/06/2020
Last updated
11/06/2020
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