Individual
DIANE ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18384 102ND WAY S, BOCA RATON, FL 33498-1663
(561) 350-3029
Mailing address
18384 102ND WAY S, BOCA RATON, FL 33498-1663
(561) 350-3029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3260
FL
Other
Enumeration date
10/15/2005
Last updated
10/06/2022
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