Individual
MS. ASHLEY LYNN HUMPHREY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 BAY VIEW TER, GENEVA, NY 14456-9768
(315) 945-3310
Mailing address
1354 STONE CHURCH RD, WATERLOO, NY 13165-9553
(315) 651-3286
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337958
NY
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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