Individual
ASHLEY HATHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1735 ENTERPRISE DR, SUITE 105A, FAIRFIELD, CA 94533-6822
(707) 425-1799
Mailing address
125 NORMANDY DR, VACAVILLE, CA 95687-5943
(707) 450-6792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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