Ryan Banta
NPI #1629691811 in Friendly, West Virginia
Provider Information
- NPI Number
- 1629691811
- Entity Type
- Individual
- Name
- Ryan Banta
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- May 21, 2020
- Last Updated
- May 21, 2020
Practice Location
- Address
- 436 FRIENDLY HILL RD
- City
- Friendly
- State
- West Virginia
- ZIP Code
- 26146-7400
- Phone
- (304) 312-6940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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