Individual
ASHLEY WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2102 W LOOP 289 APT 68, LUBBOCK, TX 79407-1771
(601) 750-3496
Mailing address
2102 W LOOP 289 APT 68, LUBBOCK, TX 79407-1771
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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