Individual
ASHLEY MCVICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 BURR RD APT 16, WAUSEON, OH 43567-1600
(419) 330-4037
Mailing address
710 BUCKEYE ST APT B, GENOA, OH 43430-1571
(419) 279-9959
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362130
—
OH
Enumeration date
11/12/2020
Last updated
11/12/2020
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