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PRECIOUS DANIELLE BANKS LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1568125037
Individual Registrant: PRECIOUS DANIELLE BANKS LPN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
205 W JASPER ST STEPHENS, AR 71764-8342 US
Tel: 870-807-4606 Fax: --
Tel: 870-807-4606 Fax: --
Contact information for business:
205 W JASPER ST STEPHENS, AR 71764-8342 US
Tel: 870-807-4606 Fax: --
Tel: 870-807-4606 Fax: --
Registration Information:
NPI: 1568125037
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | AR | 217074 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
