Individual
ASHTON JACOB PEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
613 GAYLEY AVE, LOS ANGELES, CA 90024-2409
(949) 304-4774
Mailing address
613 GAYLEY AVE, LOS ANGELES, CA 90024-2409
(949) 304-4774
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E195286
CA
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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