Individual
ASHLEY PURUGGANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 W LOMBARD ST, BALTIMORE, MD 21201-1512
(410) 706-0501
Mailing address
400 W FAYETTE ST APT 812, BALTIMORE, MD 21201-2273
(571) 209-0560
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R254851
MD
163WG0000X
General Practice Registered Nurse
RN500003114
DC
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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