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Individual

NINA BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
611 EDGEWOOD ST NE APT 824, WASHINGTON, DC 20017-4243
(202) 415-0131
Mailing address
1247 PENN ST NE APT 1, WASHINGTON, DC 20002-2830
(240) 377-6069

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/29/2021
Last updated
10/29/2021
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