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Individual

ASHLEE PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5466 GREENBRIER DR, RIVERSIDE, CA 92504-1269
(951) 642-7095
Mailing address
5466 GREENBRIER DR, RIVERSIDE, CA 92504-1269
(951) 642-7095

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95-1946482
CA
Enumeration date
07/30/2015
Last updated
07/30/2015
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