Provider Demographics
NPI:1710458120
Name:ASHLEY, VALENCIA (MED)
Entity Type:Individual
Prefix:MRS
First Name:VALENCIA
Middle Name:
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:674 MILLS LN
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-7578
Mailing Address - Country:US
Mailing Address - Phone:214-683-4406
Mailing Address - Fax:
Practice Address - Street 1:674 MILLS LN
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-7578
Practice Address - Country:US
Practice Address - Phone:214-683-4406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist