Individual
LESANEMARIAM TENKIR BANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12984 HESPERIA RD, STE 100, VICTORVILLE, CA 92395-5819
(760) 843-7675
(760) 843-7649
Mailing address
12984 HESPERIA RD, STE 100, VICTORVILLE, CA 92395-5819
(760) 843-7675
(760) 843-7649
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A104321
CA
Other
Enumeration date
08/13/2008
Last updated
09/23/2016
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