Provider Demographics
NPI:1922575968
Name:GAYLES, ASHLEY LYNN
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN
Last Name:GAYLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:LYNN
Other - Last Name:GAYLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSW MHA
Mailing Address - Street 1:9348 CHERRY HILL RD APT 719
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-1246
Mailing Address - Country:US
Mailing Address - Phone:704-796-2707
Mailing Address - Fax:
Practice Address - Street 1:9348 CHERRY HILL RD APT 719
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1246
Practice Address - Country:US
Practice Address - Phone:704-796-2707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care