Willie Banks
Community Health Worker in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1932526985
StatusActive
Last updated in NPPESMar 26, 2014
Details
- NPI
- 1932526985
- Entity type
- Individual (NPI-1)
- Name
- Willie Banks
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2014
- Last updated
- Mar 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
3455 W Craig Rd Ste BNorth Las Vegas, NV 89032-5119
Phone 702-776-7772
Mailing address
3455 W Craig Rd Ste BNorth Las Vegas, NV 89032-5119
Phone 702-776-7772
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