Individual
ASHLEY HAVLICAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(435) 962-4564
Mailing address
3654 E SANTA ANA AVE, FRESNO, CA 93726-0730
(435) 962-4564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10373570-3102
UT
163W00000X
Registered Nurse
RN95298533
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001990
CA
Other
Enumeration date
11/10/2022
Last updated
02/07/2023
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