Individual
ASHTON B CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 W MEADOWS DR, ROCHESTER, NY 14616-3409
(585) 354-8032
Mailing address
112 W MEADOWS DR, ROCHESTER, NY 14616-3409
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
331209
NY
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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