Individual
MRS. JENNIFER SUSAN ASHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
ONE BAKER PLACE, MINERAL COUNTY BOARD OF EDUCATION, KEYSER, WV 26726
(304) 788-4200
(304) 788-6461
Mailing address
16226 RAWLINGS HEIGHTS DRIVE, RAWLINGS, MD 21557
(301) 729-0837
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
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