Individual
ANTRELLE M BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4483 BACCICH ST, NEW ORLEANS, LA 70122-6113
(504) 458-6503
Mailing address
4483 BACCICH ST, NEW ORLEANS, LA 70122-6113
(504) 458-6503
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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