Individual
ASHLEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
198 GOODWILL ST, ROCHESTER, NY 14615-2353
(585) 305-6702
Mailing address
198 GOODWILL ST, ROCHESTER, NY 14615-2353
(585) 305-6702
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311095
NY
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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