Individual
ASHLEY I BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
200 GRIFFIN RD, STE 16, PORTSMOUTH, NH 03801-7145
(603) 766-6400
(603) 766-6415
Mailing address
PO BOX 655, EXETER, NH 03833-0655
(603) 766-6400
(603) 766-6415
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A566
NH
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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