Individual
DESIRAE LYNNAE EHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-7500
Mailing address
4150 V ST # 1100, SACRAMENTO, CA 95817-1460
(916) 734-2737
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A187835
CA
Other
Enumeration date
03/21/2022
Last updated
06/03/2025
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