Individual
ASHLIE VANDINE-ROSE ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-2011
Mailing address
7206 STILL BROOK ST, SAN ANTONIO, TX 78238-2736
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP142549
TX
Other
Enumeration date
03/14/2019
Last updated
04/09/2020
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