Individual
BREANNA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 LAKESIDE CT STE 145, RENO, NV 89509-4866
(775) 359-7272
Mailing address
3500 LAKESIDE CT STE 145, RENO, NV 89509-4866
(775) 359-7272
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005006109
—
NV
Enumeration date
03/01/2018
Last updated
03/08/2018
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