DARRELL LEE BANTA

MINDEN, NV
NPI1750650800
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2011-12-19
Last Update Date2011-12-19
Business Address
-- DARRELL LEE BANTA
2560 BUSINESS PKWY
MINDEN, NV 89423-8985
Phone number: 775-267-9411
Mailing Address
-- DARRELL LEE BANTA
2560 BUSINESS PKWY
MINDEN, NV 89423-8985
Phone number: