Individual
CARRIE ASHLEYATP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATP 79399
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ATP79399
ATP
—
Enumeration date
02/03/2015
Last updated
02/03/2015
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