Carlissa Avery
NPI #1467215897 in Prince George, Virginia
Provider Information
- NPI Number
- 1467215897
- Entity Type
- Individual
- Name
- Carlissa Avery
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Jan 30, 2024
- Last Updated
- Jan 30, 2024
Practice Location
- Address
- 7516 BROOKSHIRE DR
- City
- Prince George
- State
- Virginia
- ZIP Code
- 23875-3145
- Phone
- (313) 828-2399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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