Individual
MAKINI SHANI GARRETT AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4604 SPOTSYLVANIA PKWY, SUITE 200, FREDERICKSBURG, VA 22408-7763
(540) 423-6600
Mailing address
4604 SPOTSYLVANIA PKWY, SUITE 200, FREDERICKSBURG, VA 22408-7763
(540) 423-6600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101238953
VA
Other
Enumeration date
03/23/2006
Last updated
01/31/2014
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