Individual
WANDA ASHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 WILTON AVE, SECANE, PA 19018-3644
(215) 500-9878
Mailing address
623 WILTON AVE, SECANE, PA 19018-3644
(215) 500-9878
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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