JOSEPH BANHAM

BLAINE, WA
NPI1659980720
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA61104869)
Enumeration Date2020-07-24
Last Update Date2025-07-29
Business Address
JOSEPH BANHAM
861 GRANT AVE
BLAINE, WA 98230-5186
Phone number: 360-371-5855
Mailing Address
JOSEPH BANHAM
861 GRANT AVE
BLAINE, WA 98230-5186
Phone number: 360-371-5855