Individual
LAVANTE JHRELL WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36000 SHOEMAKER LN. SUITE 1051, FORT CAVASOS, TX 76544
(985) 718-7914
Mailing address
36065 SANTA FE AVE # 109, FORT HOOD, TX 76544-5060
(985) 718-7914
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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