Individual
JASMINE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3630 GEORGE WASHINGTON MEM HWY STE F1, YORKTOWN, VA 23693-3350
(757) 204-1866
(757) 782-4004
Mailing address
3630 GEORGE WASHINGTON MEM HWY STE F1, YORKTOWN, VA 23693-3350
(757) 204-1866
(757) 782-4004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704013614
VA
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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