Individual
ASHLEY THELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6269 EL FUERTE ST, CARLSBAD, CA 92009-3094
(760) 448-9852
Mailing address
5129 LEO ST, SAN DIEGO, CA 92115-1536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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