Detore, Ashley Lynn

Detore, Ashley Lynn is an individual health care provider with primary practice located at 1350 S Eliseo Dr Ste 300 , Greenbrae CA 94904-2011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Detore, Ashley Lynn can be contacted via phone (484) 332-8149.

Contact Information

Primary practice address
1350 S Eliseo Dr Ste 300 Greenbrae CA 94904-2011
Phone: (484) 332-8149
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 61109 California

Profile Details

NPI number 1174143101
LBN Legal business name Detore, Ashley Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2020
Last updated Mar 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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