Individual
BRIANNE R BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
859 S YELLOWSTONE HWY, REXBURG, ID 83440-5293
(208) 356-7643
Mailing address
4765 GLENEAGLES DR, IDAHO FALLS, ID 83401-6301
(208) 709-2905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ID
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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