Individual
DR. HEATHERLEE BANVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3709 STRAWBERRY PLAINS RD STE A, WILLIAMSBURG, VA 23188-3424
(757) 231-5653
Mailing address
31 ENSIGN SPENCE, WILLIAMSBURG, VA 23185-5558
(757) 231-5653
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
0104557857
VA
Other
Enumeration date
05/31/2022
Last updated
10/10/2024
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