Individual
KALILA DENIECE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1120 E CHURCH AVE, FRESNO, CA 93706
(559) 457-6970
(559) 457-6995
Mailing address
121 W SIERRA ST, KINGSBURG, CA 93631-1756
(559) 326-5320
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19269
CA
Other
Enumeration date
07/18/2007
Last updated
04/03/2024
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