Individual
ASHLEY N WIDEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 H ST STE 270, SACRAMENTO, CA 95814-1289
(916) 875-2779
(916) 874-7106
Mailing address
700 H ST STE 270, SACRAMENTO, CA 95814-1289
(916) 875-2779
(916) 874-7106
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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