Individual
ASHLEY MARAVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7101 CONRAD DR, SACRAMENTO, CA 95828-3306
(916) 952-6242
Mailing address
7101 CONRAD DR, SACRAMENTO, CA 95828-3306
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
691317
CA
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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