Individual
ASHLEY KEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 N SHOOTING STAR DR, BEAUMONT, CA 92223-8438
(909) 809-2480
Mailing address
1129 N SHOOTING STAR DR, BEAUMONT, CA 92223-8438
(909) 809-2480
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4569
CA
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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