Individual
ANDREA NICHOL SASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2236 BROUSSARD ST, TYLER, TX 75701-8485
(430) 287-1896
Mailing address
7138 GATEWOOD DR, TYLER, TX 75703-4901
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
306358
TX
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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