Individual
WILLIE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 W CRAIG RD STE B, NORTH LAS VEGAS, NV 89032-5119
(702) 776-7772
Mailing address
3455 W CRAIG RD STE B, NORTH LAS VEGAS, NV 89032-5119
(702) 776-7772
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811325095
—
NV
Enumeration date
03/26/2014
Last updated
03/26/2014
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