Individual
SHELBY ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2118 E GLAMIS CT, DRAPER, UT 84020-5654
(385) 313-7654
Mailing address
PO BOX 454, DRAPER, UT 84020-0454
(385) 313-7654
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
7487614-3102
UT
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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