JERRY PRESTON BANKS

SAN JOSE, CA
NPI1477822906
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-12-29
Last Update Date2011-12-29
Business Address
Mr. JERRY PRESTON BANKS
102 S 11TH ST
SAN JOSE, CA 95112-2132
Phone number: 408-998-5191
Mailing Address
Mr. JERRY PRESTON BANKS
102 S 11TH ST
SAN JOSE, CA 95112-2132
Phone number: 408-998-5191
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