Provider Information for 1629780515
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ASHLEY NICOLE WOMER
Sex: Female
NPI: 1629780515
Last Updated: 2022-12-22
Certification Date: 2022-12-22
Certification Date: 2022-12-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1629780515 | ||||||||
| Enumeration Date | 2022-12-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 705 FREDERICK CT CANONSBURG, PA 15317 United States Phone: 484-892-5240 | Fax: | ||||||||
| Primary Practice Address | 330 SOUTH 9TH ST PITTSBURGH, PA 15203 United States Phone: 412-488-4916 | Fax: | ||||||||
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