LASEAN BANISTER
Individual Provider (NPI-1)
Active
Technician, Attendant Care Provider
Provider Information
- NPI Number
1073478467- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 229 E 16TH ST, PATERSON, NJ, 075242043
- Phone
- (862) 239-3894
Specialties & Taxonomies
Technician, Attendant Care Provider
Primary
All Addresses
MAILING
229 E 16TH ST APT 5
PATERSON, NJ, 075242043