Individual
TAMMY LYNN ASHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 CLOVER LANE, BOLT, WV 25817
(304) 254-8520
Mailing address
114 CLOVER LANE, BOLT, WV 25817
(304) 254-8520
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
12/23/2022
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