NICOLE LORAINE BANKS

MESA, AZ
NPI1548742307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
Additional Taxonomies363AM0700X Physician Assistant Medical
Enumeration Date2018-08-29
Last Update Date2018-08-29
Business Address
NICOLE LORAINE BANKS PA-C
2945 S DOBSON RD
MESA, AZ 85202-7941
Phone number: 480-969-4138
Mailing Address
NICOLE LORAINE BANKS PA-C
6140 E FAIRFIELD ST
MESA, AZ 85205-5963
Phone number: 480-232-9039