Individual
ASHLEY T ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10704 HATHAWAY AVE, CLEVELAND, OH 44108-3516
(216) 352-7361
Mailing address
10704 HATHAWAY AVE, CLEVELAND, OH 44108-3516
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
170132
OH
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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