Individual
STACY KRISTINA ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9620 WOLF HILL RD, BLOOMINGTON, IL 61705-8011
(309) 378-9913
Mailing address
9620 WOLF HILL RD, BLOOMINGTON, IL 61705-8011
(309) 378-9913
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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