Individual provider · Type 1 NPI

Ashley Ryan Vidad, DO

Student in an Organized Health Care Education/Training Program · Stockton, CA

NPI number 1689324212 Active

Practice location

4441 Tiamo Way
Stockton, CA 95212-2792

Call (650) 307-7903 Map

Other practice locations

  • 1102 Lyons St, Redwood City, CA 94061-2263 · (650) 307-7903

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689324212

Ashley Ryan Vidad, DO's National Provider Identifier is 1689324212, issued on Mar 26, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Jul 25, 2022.