Individual
NICOLE LORRAINE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
H.A.S
Contact information
Practice address
1350 W CENTRE AVE STE 105, PORTAGE, MI 49024-5302
(269) 324-0301
(269) 324-2733
Mailing address
1350 W CENTRE AVE STE 105, PORTAGE, MI 49024-5302
(269) 324-0301
(269) 324-2733
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3502012160
MI
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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