Individual
TAWNY NICOLE BANVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
603 W PATRICK ST STE B, FREDERICK, MD 21701-4090
(301) 620-1414
Mailing address
119 VIRGINIA AVE, BERRYVILLE, VA 22611-1309
(540) 539-2007
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U03049
MD
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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