Individual
ASHLEY JEAN BAILEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4400 STATE HIGHWAY 121, LEWISVILLE, TX 75056-4561
(954) 309-4927
Mailing address
4400 STATE HIGHWAY 121, LEWISVILLE, TX 75056-4561
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN097363
GA
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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