Individual
ASHLEY CLANDENING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
626 RUTH ST, PORTAGE, MI 49002-3559
(989) 944-2989
Mailing address
626 RUTH ST, PORTAGE, MI 49002-3559
(989) 944-2989
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
C453072067010
MI
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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