Individual
RANESHA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15804 NICOLAI AVE, EASTPOINTE, MI 48021-1671
(313) 282-0834
Mailing address
15804 NICOLAI AVE, EASTPOINTE, MI 48021-1671
(313) 282-0834
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-5310691
—
MI
Enumeration date
11/09/2018
Last updated
11/09/2018
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