Avery, Carlissa
Avery, Carlissa is an sole proprietor health care provider with primary practice located at 7516 Brookshire Dr , Prince George VA 23875-3145. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Avery, Carlissa can be contacted via phone (313) 828-2399.Contact Information
Primary practice address
7516 Brookshire Dr
Prince George VA 23875-3145
Phone: (313) 828-2399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X | Virginia |
Profile Details
| NPI number | 1467215897 |
|---|---|
| LBN Legal business name | Avery, Carlissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2024 |
| Last updated | Jan 30th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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