Individual
ASHLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903 E 8TH ST, ERIE, PA 16503-1505
(814) 218-1138
Mailing address
903 E 8TH ST, ERIE, PA 16503-1505
(814) 218-1138
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN292050
PA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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