Individual
ASHLEY FOOTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
193 GREY FLD, BLACKLICK, OH 43004-8468
(443) 591-3156
Mailing address
193 GREY FLD, BLACKLICK, OH 43004-8468
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
163190
OH
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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