Provider Demographics
NPI:1164728614
Name:PUTNAM, ASHLEIGH (ND)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:PUTNAM
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 1:2100 GARDEN RD STE H6
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5300
Mailing Address - Country:US
Mailing Address - Phone:831-601-4147
Mailing Address - Fax:
Practice Address - Street 1:2100 GARDEN RD STE H6
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5300
Practice Address - Country:US
Practice Address - Phone:831-601-4147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-446175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath