Individual
ASHLEY DOMINIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
95 LIVINGSTON BLVD, GAYLORD, MI 49735-9464
(231) 675-8457
Mailing address
95 LIVINGSTON BLVD, GAYLORD, MI 49735-9464
(231) 675-8457
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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