Individual
ASHLEY KATHARINE WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
Mailing address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/24/2024
Last updated
12/28/2024
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