Individual
ASHLEY BLAKE MACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 CHESTNUT ST APT 1, SAN FRANCISCO, CA 94123-2510
(917) 838-9893
Mailing address
2410 CHESTNUT ST APT 1, SAN FRANCISCO, CA 94123-2510
(917) 838-9893
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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