Provider Demographics
NPI:1730575507
Name:WEBER, ASHLEY (ND)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:WEBER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 VALLEY ST
Mailing Address - Street 2:APT 3077
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-4536
Mailing Address - Country:US
Mailing Address - Phone:213-304-7066
Mailing Address - Fax:
Practice Address - Street 1:1122 W BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1414
Practice Address - Country:US
Practice Address - Phone:213-304-7066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA712175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath