Individual
JASON BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 YALE ST APT 806, WESTLAND, MI 48185-4994
(313) 662-8389
Mailing address
6501 YALE ST APT 806, WESTLAND, MI 48185-4994
(313) 662-8389
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114362
MI
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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