NPI | 1366085847 |
---|---|
Other Name | ASHLEY ANN KORRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ID DH-3580) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH61011478) |
Enumeration Date | 2019-10-28 |
Last Update Date | 2019-10-28 |