Individual
ASHLEY NICHOLE FOURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 N MAIN ST, HOLLANSBURG, OH 45332-9751
(937) 564-6575
Mailing address
146 N MAIN ST, HOLLANSBURG, OH 45332-9751
(937) 564-6575
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
1901893
OH
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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