Individual
MRS. ASHLEY ANNE JENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4330 MEDICAL DR, SUITE 325, SAN ANTONIO, TX 78229-3342
(210) 615-7700
Mailing address
410 E MANDALAY DR, SAN ANTONIO, TX 78212-1744
(210) 824-1266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04537
TX
Other
Enumeration date
05/22/2007
Last updated
03/12/2009
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