Individual
ASHLEY NICHOLE AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19109 COUNTY ROAD 2400, LUBBOCK, TX 79423
(806) 474-4034
Mailing address
602 E GRANT AVE, MORTON, TX 79346-3539
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
317009
TX
Other
Enumeration date
08/13/2018
Last updated
08/14/2018
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