Individual
SHERISA MAE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
43800 W HONEYCUTT RD, MARICOPA, AZ 85138-2545
(520) 568-6103
Mailing address
44150 W MARICOPA CASA GRANDE HWY, MARICOPA, AZ 85138-5900
(520) 568-5100
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
275986
AZ
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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