Individual
TRACY P BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
273 BARNEY BANKS RD, PINOLA, MS 39149-3132
(601) 968-7876
Mailing address
273 BARNEY BANKS RD, PINOLA, MS 39149-3132
(601) 968-7876
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338687
MS
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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