Provider Demographics
NPI:1396523601
Name:SANTOS, ASHLEY MICHELE
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MICHELE
Last Name:SANTOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17622 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-6294
Mailing Address - Country:US
Mailing Address - Phone:760-821-7912
Mailing Address - Fax:
Practice Address - Street 1:8197 I AVE STE B
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-7088
Practice Address - Country:US
Practice Address - Phone:760-821-7912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2025-10-01
Deactivation Date:2023-09-18
Deactivation Code:
Reactivation Date:2025-09-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula