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Individual

MRS. MARY DIANE ASHLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, APRN,BC

Contact information

Practice address
5105 BLAINE AVE SE, KENTWOOD, MI 49508-4705
(616) 530-3927
(775) 259-2263
Mailing address
5105 BLAINE ST SE, KENTWOOD, MI 49508
(616) 530-3927
(775) 259-2263

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704167634
MI

Other

Enumeration date
09/12/2006
Last updated
03/07/2023
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