Ashley Amanda Tiedemann
NPI #1821402116 in Colton, California
Provider Information
- NPI Number
- 1821402116
- Entity Type
- Individual
- Name
- Ashley Amanda Tiedemann
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 16, 2014
- Last Updated
- Jun 19, 2014
Practice Location
- Address
- 790 VIA LATA
- Address 2
- #300
- City
- Colton
- State
- California
- ZIP Code
- 92324-3978
- Phone
- (909) 433-0445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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