Individual
ASHLEY EASTEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(814) 943-0414
Mailing address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN303647
PA
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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