Individual
SIMONE SABION ASHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4437 MAIN ST, SHALLOTTE, NC 28470-4451
(910) 754-4449
Mailing address
4437 MAIN ST, SHALLOTTE, NC 28470-4451
(910) 754-4449
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27077805C
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000000
—
NC
Enumeration date
07/01/2022
Last updated
07/01/2022
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