Individual
ASHLEY BRIANNA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2403 N STOCKTON HILL RD, KINGMAN, AZ 86401-4188
(928) 377-5903
Mailing address
2403 N STOCKTON HILL RD, KINGMAN, AZ 86401-4188
(928) 377-5903
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP049100
AZ
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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