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Individual

ASHLEY JEAN DEMIRALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1141 OPAL CT, HAGERSTOWN, MD 21740-5976
(301) 791-6666
Mailing address
1141 OPAL CT, HAGERSTOWN, MD 21740-5976

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024183880
VA
363LP0200X
Pediatric Nurse Practitioner
R248622
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710559158
VA
Enumeration date
07/14/2021
Last updated
12/29/2023
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