Individual provider · Type 1 NPI

Ashley Travis

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

NPI number 1760104152 Active

Practice location

1500 Petaluma Blvd S
Petaluma, CA 94952-5545

Call (707) 765-8488 Map

Mailing address

24 Truman Dr
Novato, CA 94947-4460

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 1760104152

Ashley Travis's National Provider Identifier is 1760104152, issued on Sep 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Petaluma, CA. The record was last updated on Sep 13, 2022.