Individual
ASHLIE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30451 BURNUP RD, BLACK RIVER, NY 13612-2151
(315) 405-2828
Mailing address
30451 BURNUP RD, BLACK RIVER, NY 13612-2151
(315) 405-2828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296436
NY
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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