Provider Demographics
NPI:1720532369
Name:HARRELL, ASHLEE
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:HARRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8749 BROOKE PARK DR
Mailing Address - Street 2:APT 210
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-5132
Mailing Address - Country:US
Mailing Address - Phone:313-848-3241
Mailing Address - Fax:
Practice Address - Street 1:8749 BROOKE PARK DR
Practice Address - Street 2:APT 210
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-5132
Practice Address - Country:US
Practice Address - Phone:313-848-3241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other