Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 16267 | NH |
NPI | 1003074832 |
---|---|
Provider Name | Ashley Ann Fox |
First Address | Concord, NH 03301-7539 |
Second Address | Concord, NH 03301-7539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 14/09/2018 |