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Individual
ASHLEY ALPHONSE
Active
Individual
ASHLEY ALPHONSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CER
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
ST61333689
WA
235500000X
Speech/Language/Hearing Specialist/Technologist
432614
—
235500000X
Speech/Language/Hearing Specialist/Technologist
ST.0006487
CO
246Z00000X
Other Specialist/Technologist
432614
—
246ZS0410X
Surgical Technologist
—
—
305S00000X
Point of Service
—
—
374700000X
Technician
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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