Individual provider · Type 1 NPI

Mittese Doreen Bankston

Private Vehicle · Canton, OH

NPI number 1558086678 Active

Practice location

622 17th St SE
Canton, OH 44707-3708

Call (330) 617-9533 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1558086678

Mittese Doreen Bankston's National Provider Identifier is 1558086678, issued on Oct 11, 2022. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Canton, OH. The record was last updated on Oct 11, 2022.