Individual
DAISHA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25232 TOWN WALK DR, HAMDEN, CT 06518-5336
(203) 666-7315
Mailing address
25232 TOWN WALK DR, HAMDEN, CT 06518-5336
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44504
CT
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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