Individual
MRS. ASHLEY LYNN DISNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
181 INTERSTATE PARKWAY, BRADFORD, PA 16701
(814) 362-4345
(814) 362-1178
Mailing address
181 INTERSTATE PARKWAY, BRADFORD, PA 16701
(814) 362-4345
(814) 362-1178
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA055914
PA
Other
Enumeration date
09/10/2012
Last updated
12/18/2012
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