Individual
ASHLEY NICOLE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2424 WILCREST DR, HOUSTON, TX 77042-2761
(713) 666-8287
Mailing address
10723 ACACIA FOREST TRL, HOUSTON, TX 77089-5928
(281) 723-3375
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28477500
DRIVER LICENSE
TX
Enumeration date
01/08/2019
Last updated
01/08/2019
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