Individual
ASHLEY GRANT CORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2931 6TH AVE # 2, TROY, NY 12180-1318
(518) 892-0197
Mailing address
2931 6TH AVE # 2, TROY, NY 12180-1318
(518) 892-0197
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341478
NY
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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