Individual
ALISON HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2244 WILLOW DR, CONROE, TX 77304-4480
(501) 388-0089
Mailing address
2244 WILLOW DR, CONROE, TX 77304-4480
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
L059913
AR
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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