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Individual

ASHLEY GOMEZ CALEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
174 MANOR BLVD, PALMYRA, VA 22963-4837
(903) 853-0114
Mailing address
174 MANOR BLVD, PALMYRA, VA 22963-4837
(903) 853-0114

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177076
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851976633
VA
Enumeration date
03/13/2021
Last updated
10/14/2022
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