Individual
ASHLEY JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44199 MONROE ST, INDIO, CA 92201-3096
(760) 863-7067
Mailing address
44199 MONROE ST, INDIO, CA 92201-3096
(760) 863-7067
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-NOZSPQ
CA
Other
Enumeration date
01/21/2020
Last updated
01/04/2024
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