Individual
ASHLEY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
425 NORTH MAIN STREET, MANNSVILLE, NY 13661
(315) 408-5260
Mailing address
P.O. BOX 104, 425 NORTH MAIN STREET, MANNSVILLE, NY 13661
(315) 408-5260
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
284029
NY
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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