Individual
GRACE ELLEN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
45 CASTRO ST STE 324, SAN FRANCISCO, CA 94114-1029
(415) 395-9895
(415) 395-9897
Mailing address
45 CASTRO ST STE 324, SAN FRANCISCO, CA 94114-1029
(415) 395-9895
(415) 395-9897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57894
CA
Other
Enumeration date
06/04/2020
Last updated
06/26/2025
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