MRS. ASHLEY SHAVON WICKWIRE LMT NPI 1164799649

NPI Information

MRS. Ashley Shavon Wickwire, LMT is a contractor in Albuquerque, NM. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). MRS. Ashley Shavon Wickwire, LMT NPI is 1164799649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10905 CLAREMONT AVE NE
ALBUQUERQUE, NM
ZIP 87112-606
Phone: (505) 712-0122

The enumeration date for this NPI number is 11/28/2011 and was last updated on 11/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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