Individual
BROOKE BANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8116 GOOD LUCK RD STE 305, LANHAM, MD 20706-3508
(301) 552-1200
Mailing address
6913 RAVEN LN, COLUMBIA, MD 21044-4257
(443) 878-6071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
11/05/2025
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