Individual
AVIS B BANKSWYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 BROOKE RD, FREDERICKSBURG, VA 22405-6020
(571) 220-3858
Mailing address
4158 CARDINAL CREST DR, WOODBRIDGE, VA 22193-1680
(571) 220-3858
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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