Individual
MR. ANTHONY SHANNON ASH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1974 N GATEWAY BLVD, SUITE 101, FRESNO, CA 93727-1632
(559) 549-7457
(559) 251-7791
Mailing address
5511 N CORNELIA AVE, FRESNO, CA 93722-7708
(559) 288-7537
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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