Individual
JACOB ASHCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 COLUMBUS RD, ATHENS, OH 45701-1334
(740) 592-6724
(740) 592-6728
Mailing address
224 COLUMBUS RD, ATHENS, OH 45701-1334
(740) 592-6724
(740) 592-6728
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
162704
OH
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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