Individual
DIANA M BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2111 BEAVER VALLEY RD, BEAVERCREEK, OH 45434-6988
(937) 672-0906
Mailing address
5245 UPPERTON DR, MIAMISBURG, OH 45342-1422
(937) 672-0906
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.069623-MEDS
OH
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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