Individual
ASHLEY DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73A TROY RD, EAST GREENBUSH, NY 12061-1310
(518) 449-1142
Mailing address
PO BOX 148, RENSSELAER, NY 12144-0148
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
345507
NY
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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