DERRICK DESHAWN BANKS

CAMARILLO, CA
NPI1154141679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-10-10
Last Update Date2024-10-10
Business Address
DERRICK DESHAWN BANKS
1722 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-366-4040
Mailing Address
DERRICK DESHAWN BANKS
1722 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-366-4040