Individual
JAYLUH BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 KALAMAZOO ST, EAST LANSING, MI 48824-5400
(517) 355-9710
Mailing address
1312 OAK RIDGE AVE # O109, EAST LANSING, MI 48823-3948
(313) 434-8300
(313) 434-8300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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