Individual
ASHLEA NICHOLE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
308 S JENA ST, RIESEL, TX 76682-3003
(254) 495-5838
Mailing address
308 S JENA ST, RIESEL, TX 76682-3003
(254) 495-5838
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
343428
TX
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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