Individual
ASHTYN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 N WASHINGTON ST STE 322, ALEXANDRIA, VA 22314-1534
(540) 845-6940
Mailing address
5911 DANIELLE DR, FREDERICKSBURG, VA 22407-6495
(540) 903-1300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/18/2020
Last updated
09/18/2020
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