Individual
ASHELEY SUPIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12100 WARWICK BLVD, SUITE 101, NEWPORT NEWS, VA 23601-2365
(757) 534-5737
(757) 534-5089
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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