Individual
ASHONTI WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4500 SOJOURN DR APT 512, ADDISON, TX 75001-5006
(214) 641-1584
Mailing address
4500 SOJOURN DR APT 512, ADDISON, TX 75001-5006
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
304119
TX
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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