Individual
PRECIOUS DANIELLE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
205 W JASPER ST, STEPHENS, AR 71764-8342
(870) 807-4606
Mailing address
205 W JASPER ST, STEPHENS, AR 71764-8342
(870) 807-4606
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
217074
AR
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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