Provider Demographics
NPI:1376763847
Name:DASHIELL, EMILY ANNE (ND)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ANNE
Last Name:DASHIELL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 N PACIFIC COAST HWY STE 1140
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-4476
Mailing Address - Country:US
Mailing Address - Phone:310-926-4415
Mailing Address - Fax:310-693-5492
Practice Address - Street 1:390 N PACIFIC COAST HWY STE 1140
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-4476
Practice Address - Country:US
Practice Address - Phone:310-926-4415
Practice Address - Fax:310-693-5492
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA-235175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath