Individual
CARMEN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 FAWCETT AVE FL 3, TACOMA, WA 98402-5502
(253) 331-3193
(253) 597-4405
Mailing address
721 FAWCETT AVE FL 3, TACOMA, WA 98402-5502
(253) 331-3193
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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