Individual
BIANCA BANKS-JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 E 82ND ST STE 180, BLOOMINGTON, MN 55425-4503
(952) 814-7400
(952) 853-0966
Mailing address
2626 E 82ND ST STE 180, BLOOMINGTON, MN 55425-4503
(952) 814-7400
(952) 853-0966
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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