Individual
LEISHA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 CLIFFTOP DR, BEAVER, WV 25813-9301
(304) 252-3394
Mailing address
105 CLIFFTOP DR, BEAVER, WV 25813-9301
(304) 252-3394
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
06/29/2021
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