Individual
MR. JOSEPH N BANANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2325 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2148
(702) 870-2007
(702) 320-1507
Mailing address
2401 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2123
(702) 870-2007
(702) 320-1507
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
BO1012
NV
Other
Enumeration date
07/05/2007
Last updated
03/20/2008
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