Individual
ASHLEY BOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 QUINCY JUNCTION RD, QUINCY, CA 95971-9112
(530) 283-6510
Mailing address
PO BOX 63, TAYLORSVILLE, CA 95983-0063
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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