Individual
RECARDO BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18247 ASBURY PARK, DETROIT, MI 48235-3105
(313) 422-3635
Mailing address
18247 ASBURY PARK, DETROIT, MI 48235-3105
(313) 422-3635
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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