Individual
ASHANTI HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
637 GIFFORD ST, SYRACUSE, NY 13204-3103
(315) 925-9604
Mailing address
637 GIFFORD ST, SYRACUSE, NY 13204-3103
(315) 925-9604
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
345764-01
NY
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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