Individual
ASHLEY FRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18B ELLIS RANCH RD, SANTA FE, NM 87505-9537
(505) 603-4802
Mailing address
18B ELLIS RANCH RD, SANTA FE, NM 87505-9537
(505) 603-4802
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6043
NM
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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