Individual
ASHLEY THORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
918 W MAIN ST, GRAFTON, WV 26354-1028
(304) 657-9392
Mailing address
30 MON GENERAL DR STE 2, MORGANTOWN, WV 26505-2853
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34653
WV
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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