Individual
ERYCA NICOLE BANKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6161 BUSCH BLVD, COLUMBUS, OH 43229-2508
(614) 612-0352
Mailing address
6161 BUSCH BLVD, COLUMBUS, OH 43229-2508
(614) 612-0352
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.174071.MEDS-IV
OH
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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