Individual
MS. MARY ELLEN ASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT(R)
Contact information
Practice address
407 S PARK AVE, SAINT LOUIS, MO 63119-4151
(314) 223-6003
Mailing address
407 S PARK AVE, SAINT LOUIS, MO 63119-4151
(314) 223-6003
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
387062
MO
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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