Individual
ALBA LUZ ASCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
457 CARROLLTON DR, FREDERICK, MD 21701-6353
(301) 712-0871
Mailing address
457 CARROLLTON DR, FREDERICK, MD 21701-6353
(301) 712-0871
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00147099
MD
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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