Individual
ASHLEY MICHELLE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945-8524
(530) 274-9762
Mailing address
11641 EDGEWOOD RD, AUBURN, CA 95603-3403
(530) 401-7216
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
65056
CA
Other
Enumeration date
05/16/2023
Last updated
09/17/2024
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