Individual
BRIANA MAE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 W MAPLE ST, FARMINGTON, NM 87401-6113
(505) 609-6349
(505) 599-4679
Mailing address
990 HUNTERS TRL, BROADVIEW HEIGHTS, OH 44147-1927
(216) 570-8011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA224-0123
NM
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/12/2023
Last updated
01/21/2025
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