Individual
ASHLEY WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1338 HORSESHOE LAKE RD, SWAN LAKE, NY 12783-5508
(845) 866-0293
Mailing address
PO BOX 532, KIAMESHA LAKE, NY 12751-0532
(845) 866-0293
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310815-01
NY
Other
Enumeration date
04/18/2013
Last updated
07/01/2014
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