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Wanisha Karlette Ashley

Rehabilitation Practitioner in Fontana, CA. Individual provider (NPI-1).

NPI number1386828036
StatusActive
Last updated in NPPESDec 18, 2007

Details

NPI
1386828036
Entity type
Individual (NPI-1)
Name
Wanisha Karlette Ashley
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 18, 2007
Last updated
Dec 18, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

6015 Forest Oaks Pl.
Fontana, CA 92336

Phone 909-427-1518 · Fax 951-788-2972

Mailing address

6015 Forest Oaks Pl.
Fontana, CA 92336

Phone 909-427-1518 · Fax 951-788-2972

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