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Individual

ASHLEY M AYESTAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
685 N 13TH AVE STE 2, UPLAND, CA 91786-4963
(909) 500-8683
Mailing address
685 N 13TH AVE, UPLAND, CA 91786-4916
(909) 500-8683

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA67990
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CA

Other

Enumeration date
12/10/2025
Last updated
05/01/2026
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