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Organization

AVEA WELLNESS & REJUVENATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA GASQUE NP (OWNER/PRACTITIONER)
(843) 453-4839
Entity
Organization

Contact information

Practice address
8427 DORSEY CIR STE 101, MANASSAS, VA 20110-4596
(571) 496-8333
Mailing address
14497 POTOMAC MILLS RD STE 1004, WOODBRIDGE, VA 22192-6807
(843) 453-4839

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
08/01/2026
Last updated
08/01/2026
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