Individual
ASHLEY RAE VERISSIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 OAKDALE RD, MODESTO, CA 95355-3357
(209) 557-6200
Mailing address
1225 OAKDALE RD, MODESTO, CA 95355-3357
(209) 557-6200
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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