Individual
ASHLEY BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 N CANNON AVE STE 113, LANSDALE, PA 19446-1874
(267) 663-7743
(267) 363-3973
Mailing address
650 N CANNON AVE STE 113, LANSDALE, PA 19446-1874
(267) 663-7743
(267) 363-3973
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
46183601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46183601
PA DEPARTMENT OF HEALTH LICENSE NUMBER
PA
Enumeration date
03/27/2020
Last updated
03/27/2020
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