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Individual

ASHLEY N DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8501 RANCHO DEL CERRO DR NE, ALBUQUERQUE, NM 87113-2076
(505) 480-3290
Mailing address
8501 RANCHO DEL CERRO DR NE, ALBUQUERQUE, NM 87113-2076
(505) 480-3290

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
06/11/2020
Last updated
06/11/2020
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