Individual
ASHANTI SADE RELIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 S LAS VEGAS TRL, WHITE SETTLEMENT, TX 76108-2747
(000) 000-0000
Mailing address
435 S LAS VEGAS TRL, WHITE SETTLEMENT, TX 76108-2747
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308091
TX
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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