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Ashley Larue

Technician, Personal Care Attendant in Princeton, WV. Individual provider (NPI-1).

NPI number1902480957
StatusActive
Last updated in NPPESMay 6, 2021

Details

NPI
1902480957
Entity type
Individual (NPI-1)
Name
Ashley Larue
Sex
Female
Sole proprietor
No
Enumeration date
May 6, 2021
Certification date
May 6, 2021
Last updated
May 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

712 Mercer St Ste D
Princeton, WV 24740-3114

Phone 304-431-2443

Mailing address

2467 Brush Creek Falls Rd
Princeton, WV 24739-6716

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