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Individual

CHANTEL LATRESA ASHLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
8714 SPRING CYPRESS RD, SUITE 200, SPRING, TX 77379-3395
(281) 251-6394
Mailing address
8714 SPRING CYPRESS RD, SUITE 200, SPRING, TX 77379-3395
(281) 251-6394

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
626367
TX
367A00000X
Advanced Practice Midwife
626367
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206275403
TX
01
8339NH
BLUE CROSS BLUE SHIELD
TX
01
8FX389
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/22/2006
Last updated
08/30/2016
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