Individual
JOSEPH BANNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 E HUNTLEY ST, ABERDEEN, WA 98520-8615
(360) 581-3212
Mailing address
205 E HUNTLEY ST, ABERDEEN, WA 98520-8615
(360) 581-3212
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/28/2021
Last updated
08/28/2021
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