Individual
DR. ASHLEY J TARASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 N STAR WAY, MODESTO, CA 95356-9262
(209) 577-1200
(209) 577-6517
Mailing address
PO BOX 576768, MODESTO, CA 95357-6768
(209) 577-1200
(209) 577-6517
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
A135962
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A135962
CA
Other
Enumeration date
06/01/2011
Last updated
07/21/2022
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