Provider Demographics
NPI:1902282601
Name:PARAISO, ASHLEY (LAC)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:
Last Name:PARAISO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1642 10TH ST S
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-4701
Mailing Address - Country:US
Mailing Address - Phone:202-489-8465
Mailing Address - Fax:
Practice Address - Street 1:2000 P ST NW STE 720
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6967
Practice Address - Country:US
Practice Address - Phone:202-489-8465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAC500228171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist