Individual
CARLENE GAYLE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6475 NEW HAMPSHIRE AVE STE 604, HYATTSVILLE, MD 20783-3280
(240) 481-7844
(240) 494-2603
Mailing address
PO BOX 428, MOUNT RAINIER, MD 20712-0428
(301) 679-9653
(240) 493-2603
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
R4367
MD
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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