Individual
ASHLEY S NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 CRENSHAW BLVD, LOS ANGELES, CA 90019-1938
(323) 937-5466
Mailing address
1231 S HILL ST PH 779, LOS ANGELES, CA 90015-4269
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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