Individual
ASHLEY LISONBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
620 S ALBERT AVE, WALSENBURG, CO 81089-2240
(719) 738-6446
Mailing address
620 S ALBERT AVE, WALSENBURG, CO 81089-2240
(719) 738-6446
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002023962
CO
Other
Enumeration date
11/22/2014
Last updated
11/22/2014
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