Individual
ASHLEY HOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4804 LACEY BLVD SE, LACEY, WA 98503-5733
(360) 561-0171
Mailing address
5520 MOUNTAIN GREENS LANE SE, LACEY, WA 98503-5733
(907) 799-3191
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60498187
WA
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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