Provider Demographics
NPI:1568656882
Name:PALMES, ASHLEY JOYCE (HS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JOYCE
Last Name:PALMES
Suffix:
Gender:F
Credentials:HS
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:JOYCE
Other - Last Name:PALMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HS
Mailing Address - Street 1:599 TOMALES RD
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-5002
Mailing Address - Country:US
Mailing Address - Phone:707-765-7714
Mailing Address - Fax:
Practice Address - Street 1:599 TOMALES RD
Practice Address - Street 2:599 TOMALES RD
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-5002
Practice Address - Country:US
Practice Address - Phone:707-765-7714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other