Individual
ANN ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4328 MATILDA AVE, BRONX, NY 10466-1315
(718) 671-2100
Mailing address
4328 MATILDA AVE, BRONX, NY 10466-1315
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305452
NY
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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