Individual
ASHLEY MACDAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
(215) 951-2542
Mailing address
533 SHORT AVE, PECKVILLE, PA 18452-2233
(570) 877-9392
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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