Individual
AINSWORTH ANTHONY HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(240) 427-8263
Mailing address
8234 CLEARWATER CT, SEVERN, MD 21144-2508
(240) 427-8263
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00040160
MD
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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