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Individual

GEORGIA B BANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
3190 OLD TUNNEL RD STE C, LAFAYETTE, CA 94549-4198
(925) 586-3951
Mailing address
3190 OLD TUNNEL RD STE C, LAFAYETTE, CA 94549-4198
(925) 586-3951

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
20901809
IN
225700000X
Massage Therapist
Primary
24846
CA

Other

Enumeration date
12/13/2011
Last updated
12/13/2011
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