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Individual
ASHLEY RINALDI DETTRA
Active
Individual
ASHLEY RINALDI DETTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CCRN, NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01153600
NJ
Other
Enumeration date
05/24/2021
Last updated
10/19/2023
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