Individual
ASHLEY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 WILDROSE DR, GARDNERVILLE, NV 89410-5116
(406) 531-5564
Mailing address
1515 WILDROSE DR, GARDNERVILLE, NV 89410-5116
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
NV20141108821
NV
374J00000X
Doula
Primary
NV20141108821
NV
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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