ASHLEIGH JENAE DETRAY

BLUFFTON, IN
NPI1073307120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71017685A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-05
Last Update Date2026-02-11
Business Address
ASHLEIGH JENAE DETRAY
1115 S MAIN ST
BLUFFTON, IN 46714-3616
Phone number: 260-824-1071
Mailing Address
ASHLEIGH JENAE DETRAY
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: