Individual
ASHLEY MACABASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 BENTLEY CT, SAN DIMAS, CA 91773-2809
(909) 971-7081
Mailing address
1424 BENTLEY CT, SAN DIMAS, CA 91773-2809
(909) 971-7081
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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