Individual
ASHLEY BROOKE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1211 CHERYL ST UNIT A, LONGVIEW, TX 75604-1043
(903) 424-8350
Mailing address
1211 CHERYL ST # A, LONGVIEW, TX 75604-1043
(903) 424-8350
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
343000
TX
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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