Individual
SEDARRYL LAMONT BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2820 S JONES BLVD STE 1, LAS VEGAS, NV 89146-5650
(702) 556-1511
(702) 888-0035
Mailing address
516 WYATT AVE, LAS VEGAS, NV 89106-2746
(775) 276-4796
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/18/2012
Last updated
03/18/2012
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