JO BAYLISS DEVIVO

FREDERICK, MD
NPI1992581532
Former NameJO BAYLISS BASLOT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110009528)
Enumeration Date2023-09-07
Last Update Date2024-03-01
Business Address
JO BAYLISS DEVIVO PA-C
163 THOMAS JOHNSON DR STE H
FREDERICK, MD 21702-4673
Phone number: 301-694-9111
Mailing Address
JO BAYLISS DEVIVO PA-C
11107 ROCK GARDEN DR
FAIRFAX, VA 22030-4935
Phone number: 843-618-8457
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