Individual
ASHLEY RIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6859 ARIAS WAY, PAINESVILLE, OH 44077-2194
(440) 361-1133
Mailing address
6859 ARIAS WAY, PAINESVILLE, OH 44077-2194
(440) 361-1133
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
155994
OH
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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