Individual
LAURA SANDRA ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED DIETITIAN
Contact information
Practice address
408 W 45TH ST, AUSTIN, TX 78751-3014
(512) 451-5800
(512) 459-1399
Mailing address
408 W 45TH ST, AUSTIN, TX 78751-3014
(512) 451-5800
(512) 459-1399
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06727
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198066602
—
TX
Enumeration date
06/23/2008
Last updated
09/08/2016
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