Individual
MR. JAMIE BANUSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7307 GEORGE WASHINGTON MEM HWY, PMB511, YORKTOWN, VA 23692
(757) 303-8900
Mailing address
7307 GEORGE WASHINGTON MEM HWY, PMB511, YORKTOWN, VA 23692
(757) 303-8900
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
01/10/2018
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