Individual
ALYSHA ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 SARTIN DR, EDMONTON, KY 42129-8170
(270) 432-4951
(270) 432-5054
Mailing address
112 SARTIN DR, EDMONTON, KY 42129-8170
(270) 432-4951
(270) 432-5054
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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