Most Relevant Information
Provider Data
| NPI Number: | 1003556382 |
| Provider Name: | JANETTE BANKS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2022 |
| Last Updated: | 04/01/2022 |
Provider Practice Location
1599 2ND AVE
CHARLESTON
WV
253872514
Practice Location Phone/Fax
| Phone: | 3044534663 |
| Fax: | 3044531103 |
Provider Mailing Location
PO BOX 20112
CHARLESTON
WV
253621112
Provider Mailing Phone/Fax
| Phone: | 3044534663 |
| Fax: | 3044531103 |