Individual
ASHLEY LYNN FAUZAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 8TH AVE, COUNCIL BLUFFS, IA 51501-6278
(402) 706-2211
Mailing address
1014 8TH AVE, COUNCIL BLUFFS, IA 51501-6278
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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