Individual
LANAEYA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(209) 534-1328
Mailing address
9135 MILL PARK AVE, TACOMA, WA 98433-2301
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
343086
TX
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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