Individual
ASHLEE NICOLE SPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
551 W MAHONING ST, PUNXSUTAWNEY, PA 15767-1909
(814) 249-7001
(814) 249-7015
Mailing address
551 W MAHONING ST, PUNXSUTAWNEY, PA 15767-1909
(814) 249-7001
(814) 249-7015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA003498
PA
Other
Enumeration date
01/28/2015
Last updated
05/27/2016
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