QUEENTA BANACK

FULTON, MD
NPI1235832692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024186737)
Enumeration Date2023-03-24
Last Update Date2023-03-24
Business Address
QUEENTA BANACK DO
8115 MAPLE LAWN BLVD STE 109
FULTON, MD 20759-2681
Phone number: 301-404-8724
Mailing Address
QUEENTA BANACK DO
8115 MAPLE LAWN BLVD STE 109
FULTON, MD 20759-2681
Phone number: 301-404-8724
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