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Individual

ASHLEY GUNTKOWSKI MAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, RN

Contact information

Practice address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 255-9155
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(321) 626-2109

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1827
CA
367A00000X
Advanced Practice Midwife
9375335
FL

Other

Enumeration date
03/03/2009
Last updated
04/06/2020
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