Banisha Monay Evans, CPTLL
Banisha Monay Evans, CPTLL is a Phlebology Physician in Elk Grove, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
8674 Nemea WayElk Grove, CA 95624-3444
Phone: (510) 859-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Phlebology Physician (primary) | Taxonomy 202K00000X · Licence CPA02209141 (CA) |
|---|
Record details
| NPI number | 1780342675 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPTLL |
| Sole proprietor | Yes |
| NPI enumerated | December 7, 2021 |
| Last updated in NPPES | December 7, 2021 |
| Certification date | December 7, 2021 |