Individual
ASHLEY SHANE CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3717
(510) 333-3221
Mailing address
648 SAN VICENTE WAY, SAN DIEGO, CA 92114-4743
(510) 333-3221
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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