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PRECIOUS DANIELLE BANKS LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1568125037

Individual Registrant:
 PRECIOUS DANIELLE BANKS LPN
Gender: F
Sole Proprietor

Location and contact information for practice:
205 W JASPER ST  STEPHENS, AR 71764-8342 US
Tel: 870-807-4606  Fax: --

Contact information for business:
205 W JASPER ST  STEPHENS, AR 71764-8342 US
Tel: 870-807-4606  Fax: --

Registration Information:
NPI: 1568125037
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
AR217074

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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