Individual
PHYLLIS AGOVI BANAHENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
34 WATSON LN, MIDDLETOWN, DE 19709-9389
(302) 668-9851
Mailing address
34 WATSON LN, MIDDLETOWN, DE 19709-9389
(302) 668-9851
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
L1-0034161
DE
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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