Individual
ASHLEY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
401 I ST, MARYSVILLE, CA 95901-5626
(813) 995-1469
Mailing address
401 I ST, MARYSVILLE, CA 95901-5626
(530) 743-5125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-006696
VA
363A00000X
Physician Assistant
Primary
PA58252
CA
363AS0400X
Surgical Physician Assistant
PA58252
CA
Other
Enumeration date
10/19/2018
Last updated
09/04/2024
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