Individual
LETICIA BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 557-0709
Mailing address
964 COUNTY ROAD 93, CROSSVILLE, AL 35962-3555
(256) 557-0709
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-054362
AL
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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