Individual
WOONJEONG BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 645-5500
(671) 645-5549
Mailing address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 645-5500
(671) 645-5549
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NP0136
GU
163W00000X
Registered Nurse
RE1048
GU
367500000X
Certified Registered Nurse Anesthetist
077711
CT
Other
Enumeration date
10/08/2008
Last updated
07/28/2016
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