Individual
ASHLEY NICOLE MAXIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2517 CLARA LN, TEXAS CITY, TX 77590-8810
(429) 771-4519
Mailing address
2517 CLARA LN, TEXAS CITY, TX 77590-8810
(429) 771-4519
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
TX
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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