Individual
MS. IMANI TASHELLE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA, CSA
Contact information
Practice address
8116 ARLINGTON BLVD STE 183, FALLS CHURCH, VA 22042-1002
(703) 659-4557
(703) 205-9010
Mailing address
3350 TOLEDO TER APT 442, HYATTSVILLE, MD 20782-3264
(516) 717-5901
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000340
VA
246ZC0007X
Surgical Assistant
SA2000004
DC
Other
Enumeration date
07/27/2021
Last updated
10/14/2021
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