Individual
ASHLEY DE PLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3813 ROBIN LN, VALDOSTA, GA 31605-5124
(404) 693-7968
Mailing address
3813 ROBIN LN, VALDOSTA, GA 31605-5124
(404) 693-7968
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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