Individual
ADDIE AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 CATALPA ST, ANGLETON, TX 77515-4801
(979) 997-2658
Mailing address
501 CATALPA ST, ANGLETON, TX 77515-4801
(979) 997-2658
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
130022
TX
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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