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Susana Ashby

Specialist/Technologist, Athletic Trainer in Oakland, CA. Individual provider (NPI-1).

NPI number1104790286
StatusActive
Last updated in NPPESOct 1, 2025

Details

NPI
1104790286
Entity type
Individual (NPI-1)
Name
Susana Ashby
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 1, 2025
Certification date
Oct 1, 2025
Last updated
Oct 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer95209441CAYes

Practice location

2633 E 27th St
Oakland, CA 94601-1912

Phone 510-535-5115

Mailing address

2633 E 27th St
Oakland, CA 94601-1912

Phone 510-535-5115

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