Individual
ASHLEY M BLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1330 W COVINA BLVD STE 106, SAN DIMAS, CA 91773-3200
(909) 599-6876
Mailing address
350 S OAKLAND AVE UNIT 307, PASADENA, CA 91101-4037
(951) 236-4590
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95011028
CA
Other
Enumeration date
02/06/2019
Last updated
09/26/2023
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