Individual
ASHLEN NICOLE LASALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 FRY RD, HOUSTON, TX 77084-5813
(281) 829-2565
Mailing address
14220 PARK ROW DR APT 331, HOUSTON, TX 77084-5168
(409) 225-2750
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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