Individual
ASHLEY CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 862-5969
Mailing address
96 SUMMIT RD, PLYMOUTH, MA 02360-1900
(508) 269-7475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5744
MA
Other
Enumeration date
02/29/2016
Last updated
02/04/2024
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