Banks, Dezella Marie

Banks, Dezella Marie is an individual health care provider with primary practice located at 18646 Oxnard St , Tarzana CA 91356-1411. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Banks, Dezella Marie can be contacted via phone (818) 996-1051.

Contact Information

Primary practice address
18646 Oxnard St Tarzana CA 91356-1411
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1503650423 California

Profile Details

NPI number 1609057520
LBN Legal business name Banks, Dezella Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2007
Last updated Jan 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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