Individual
MISS ASHLEY NICOLA PENDERGRAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7318 MONSEY CIR APT 102, LOUISVILLE, KY 40219-8356
(502) 435-2528
Mailing address
7318 MONSEY CIR APT 102, LOUISVILLE, KY 40219-8356
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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