Individual
ASHLEY NICOLE SEYMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4810 CENTERVILLE RD, SAYRE, PA 18840-9789
(570) 886-0920
Mailing address
4810 CENTERVILLE RD, SAYRE, PA 18840-9789
(570) 886-0920
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
75173601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043159220001
—
PA
Enumeration date
11/14/2023
Last updated
03/03/2025
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