Individual
TRICIA ASHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5510 CHEROKEE AVE, SUITE 250, ALEXANDRIA, VA 22312-2320
(703) 916-0202
(703) 916-0200
Mailing address
5510 CHEROKEE AVE, SUITE 250, ALEXANDRIA, VA 22312-2320
(703) 916-0202
(703) 916-0200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305003107
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028536
ANTHEM
VA
01
—
40960
MAMSI/OPTIMUMCHOICE/MDIPA
VA
Enumeration date
07/29/2005
Last updated
04/08/2008
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