Individual
BANEE JOYCE LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 SOUTHERN DR, STATESBORO, GA 30460-1360
(912) 478-4636
Mailing address
1240 NE 204TH ST, MIAMI, FL 33179-2636
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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