Individual
MRS. JENNIFER SUSAN ASHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
04094
MD
2083X0100X
Occupational Medicine Physician
Primary
856
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9440145000
—
WV
Enumeration date
02/13/2008
Last updated
02/13/2008
Update your record
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