Individual
GINA KIM BANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-5437
Mailing address
405 W WALNUT AVE, PAINESVILLE, OH 44077-2637
(704) 902-3856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006200RX
OH
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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