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Individual

ASHLEY NICOLE KNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPS

Contact information

Practice address
210 13TH ST, RAYMOND, WA 98577-2709
(360) 875-1770
Mailing address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 227-1659

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110055467928
MOLINA
WA
Enumeration date
08/25/2021
Last updated
08/25/2021
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