Individual
SUSANA ASHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(510) 535-5115
Mailing address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(510) 535-5115
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
95209441
CA
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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