Individual
ASHLEY TATUM CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3573 HILLSBOROUGH RD, DURHAM, NC 27705-2916
(919) 383-0171
Mailing address
4720 HERITAGE DR, DURHAM, NC 27712-2508
(919) 698-6368
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
233059
NC
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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