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Ashley Shackelford
NPI 1407401805 · on the registry since 2019 · sole proprietor
Practice
- Address
- 322 E Durham St Apt I
Philadelphia, PA 19119 - Phone
- (267) 476-0218
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania