Individual
ASHLEY VIOLET GENERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S2
Contact information
Practice address
1000 S FREMONT AVE, UNIT 7, BLD A10, N10100, ALHAMBRA, CA 91803-8897
(626) 457-4240
(626) 457-4245
Mailing address
1000 S FREMONT AVE, UNIT 7, BLD A10, N10100, ALHAMBRA, CA 91803-8897
(626) 457-4240
(626) 457-4245
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/06/2024
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