Provider Demographics
NPI:1639833726
Name:STAMPS, ASHANTI A
Entity type:Individual
Prefix:MS
First Name:ASHANTI
Middle Name:A
Last Name:STAMPS
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 1:530 MONTEREY ST
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-6247
Mailing Address - Country:US
Mailing Address - Phone:707-656-3645
Mailing Address - Fax:
Practice Address - Street 1:436 DEL SUR ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-8226
Practice Address - Country:US
Practice Address - Phone:707-646-7689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program