Individual
ASHLEY TAYLOR FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
808 W MAIN ST, GROVE CITY, PA 16127-1114
(724) 458-8533
Mailing address
1014 BRANCHTON RD, BOYERS, PA 16020-1406
(724) 996-7713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG004146
PA
Other
Enumeration date
05/15/2024
Last updated
05/30/2024
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