Individual
TAMMIKA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4103 E MICA RD, SAN TAN VALLEY, AZ 85143-5639
(602) 312-9816
Mailing address
4103 E MICA RD, SAN TAN VALLEY, AZ 85143-5639
(602) 312-9816
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
08/12/2014
Last updated
02/17/2024
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