Individual
ASHLEY L WICKLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 EAST ALOSTA AVENUE, AZUSA, CA 91702
(626) 969-3434
Mailing address
2100 CAMPTON CIR, GOLD RIVER, CA 95670-8302
(916) 502-1554
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
03/28/2016
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