Individual
MISS ASHLEY MARIAH HAGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
10825 E KESWICK RD, PHILADELPHIA, PA 19154-4134
(267) 535-9070
Mailing address
10825 E KESWICK RD APT 5, PHILADELPHIA, PA 19154-4129
(267) 535-9070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN651244
PA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN651244
PA
163WH0200X
Home Health Registered Nurse
RN651244
PA
163WI0500X
Infusion Therapy Registered Nurse
RN651244
PA
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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