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Individual

ASHLEY R MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1820 41ST AVE STE D, CAPITOLA, CA 95010-2516
(831) 476-3000
(831) 476-9009
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61435
CA

Other

Enumeration date
04/14/2021
Last updated
09/21/2022
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