Individual
KIERSTEN ASHLEY BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
591 W 2300 S, SYRACUSE, UT 84075-8106
(801) 678-6243
Mailing address
591 W 2300 S, SYRACUSE, UT 84075-8106
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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