NPI 1023757663

Angelanesehia Banks

Practitioner Private Vehicle Jacksonville, FL

Practice location

Address: 12126 Alexandra Dr, Jacksonville, FL 32218-8883
Phone: (352) 663-5675
Fax: (904) 329-2062

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1023757663
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2022
Record last updated: 1 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.