Individual
SHALITA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30322 HARRISON ST, WILLOWICK, OH 44095-4820
(216) 816-7371
Mailing address
30322 HARRISON ST, WILLOWICK, OH 44095-4820
(216) 816-7371
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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