Individual
JESSICA BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5305 MESA VERDE DR, SPARKS, NV 89436-4666
(775) 313-5044
Mailing address
5305 MESA VERDE DR, SPARKS, NV 89436-4666
(775) 313-5044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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