Ashley Jennifer Ennedy, DO
Preventive Medicine, Occupational Medicine in San Diego, CA. Individual provider (NPI-1).
NPI number1861908386
StatusActive
Last updated in NPPESJun 5, 2020
Details
- NPI
- 1861908386
- Entity type
- Individual (NPI-1)
- Name
- Ashley Jennifer Ennedy
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2017
- Certification date
- Jun 5, 2020
- Last updated
- Jun 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | 20A17045 | CA | Yes |
Practice location
10243 Genetic Center DrSan Diego, CA 92121-6310
Phone 858-499-2600
Mailing address
16482 Bridlewood RdPoway, CA 92064-1427
Phone 858-335-1761
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