Individual
REBECCA ASHENFELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4715 FOX VALLEY DR., 1A, JACKSON, MI 49204
(269) 861-9027
Mailing address
4715 FOX VALLEY DR., 1A, JACKSON, MI 49204
(269) 861-9027
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703047998
MI
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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