Most Relevant Information
Provider Data
| NPI Number: | 1003005158 |
| Provider Name: | TRACEY ASHMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN268004 |
Most Important Dates
| Enumeration Date: | 10/15/2007 |
| Last Updated: | 10/15/2007 |
Provider Practice Location
2250 HICKORY RD
SUITE 240
PLYMOUTH MEETING
PA
194621047
Practice Location Phone/Fax
| Phone: | 6108341122 |
| Fax: | 6108251604 |
Provider Mailing Location
804 N 3RD ST
POTTSVILLE
PA
179011726
Provider Mailing Phone/Fax
| Phone: | 5706225459 |
| Fax: |