Individual
JACQUELINE KIM BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
H.I.S.
Contact information
Practice address
2537 S SAUNDERS ST, RALEIGH, NC 27603-2843
(919) 856-4565
(919) 856-4565
Mailing address
1420 WESCOTT DR, RALEIGH, NC 27614
(864) 980-6768
(864) 980-6768
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
02617
MD
237700000X
Hearing Instrument Specialist
Primary
1465
NC
Other
Enumeration date
11/24/2014
Last updated
11/07/2016
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