Individual
ASHIYANA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 465-1080
Mailing address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
260876
CA
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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