Individual
FELICIA ALEJA BANKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 GAULT WAY, SPARKS, NV 89431-1824
(775) 287-0263
Mailing address
1651 G ST, SPARKS, NV 89431-4328
(775) 287-0263
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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