Individual
ASHLEY MARIE CERULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
2333 MACCORKLE AVE, SAINT ALBANS, WV 25177-2073
(304) 766-0060
Mailing address
2333 MACCORKLE AVE, SAINT ALBANS, WV 25177-2073
(304) 766-0060
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-9125
WV
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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