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Individual

ASHLENA DASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 300-8800
Mailing address
1630 4TH ST, EUREKA, CA 95501-0720

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA51482
CA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
51482
CA

Other

Enumeration date
03/18/2014
Last updated
01/03/2022
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