Jaressa Banks

NPI #1184198657 in Osceola, Arkansas

Provider Information

NPI Number: 1184198657
Entity Type: Individual
Name: Jaressa Banks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jan 17, 2019
Last Updated: Jan 17, 2019

Practice Location

Address: 315 E UNION AVE
City: Osceola
State: Arkansas
ZIP Code: 72370-3235
Phone: (870) 563-1331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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