Individual
ASHLEY MAE CHITWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 N 6TH ST, JACKSBORO, TX 76458-1117
(940) 249-6195
Mailing address
606 N 6TH ST, JACKSBORO, TX 76458-1117
(940) 249-6195
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
322792
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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