Individual
MICHELLE ASHELY TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2295 KIETZKE LN, RENO, NV 89502-3604
(775) 829-5685
Mailing address
13285 MINNIEVILLE RD, WOODBRIDGE, VA 22192-4018
(714) 858-2271
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003244
VA
Other
Enumeration date
07/07/2022
Last updated
08/28/2023
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