Individual
ASHLEY ROSE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
66 BRAMHALL ST STE G1, PORTLAND, ME 04102-3344
(207) 662-2847
Mailing address
66 BRAMHALL ST STE G1, PORTLAND, ME 04102-3344
(603) 339-2623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/01/2019
Last updated
09/16/2020
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