Individual
MRS. ASHLEY RENEE BAKSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9460 N NAME UNO STE 210, GILROY, CA 95020-3532
(408) 847-0888
(408) 847-1257
Mailing address
6399 SAN IGNACIO AVE STE 120, SAN JOSE, CA 95119-1215
(408) 369-5620
(408) 904-7730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56868
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56868
CALIFORNIA PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
01/15/2018
Last updated
03/07/2023
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