Individual
ASGHAR EHSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2350 PROFESSIONAL DR, SANTA ROSA, CA 95403-3018
(707) 565-4954
Mailing address
2350 PROFESSIONAL DR, SANTA ROSA, CA 95403-3018
(707) 565-4954
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/09/2008
Last updated
07/01/2014
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