Individual
MISS ASHLEY SADE DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
PO BOX 1433, ALPHARETTA, GA 30009-1433
(808) 897-0803
Mailing address
PO BOX 1433, ALPHARETTA, GA 30009-1433
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
347991
NY
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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