Individual
ASHLEY HARTT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2330 W COVELL BLVD, DAVIS, CA 95616-5658
(530) 668-2600
(530) 756-5917
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A16535
CA
Other
Enumeration date
05/16/2012
Last updated
01/05/2024
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