Individual
ASHLEY NICKOLE BYWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7428 W MILITARY DR STE D, SAN ANTONIO, TX 78227-3010
(210) 673-8111
Mailing address
7428 W MILITARY DR STE D, SAN ANTONIO, TX 78227-3010
(210) 673-8111
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
336324
TX
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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