Provider Demographics
NPI:1972107985
Name:CALLES, ASHLEYANN MARIE
Entity type:Individual
Prefix:MISS
First Name:ASHLEYANN
Middle Name:MARIE
Last Name:CALLES
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 1:515 LOCKLIE ST
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-7623
Mailing Address - Country:US
Mailing Address - Phone:347-633-6243
Mailing Address - Fax:
Practice Address - Street 1:515 LOCKLIE ST
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-7623
Practice Address - Country:US
Practice Address - Phone:347-633-6243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic