Individual
ASHLEY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 VICTORIA ST STE 1H, COSTA MESA, CA 92627-1906
(949) 629-2860
Mailing address
275 VICTORIA ST STE 1H, COSTA MESA, CA 92627-1906
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
741205
CA
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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