Individual
KATIE LYNN BANKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
2072 PATS PL, TALLAHASSEE, FL 32308-4817
(850) 566-2800
Mailing address
2072 PATS PL, TALLAHASSEE, FL 32308-4817
(850) 566-2800
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
FL
374J00000X
Doula
Primary
—
FL
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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