Individual
BROOKLYN SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 BETH AVE, WINSTON SALEM, NC 27127-7115
(336) 710-9188
Mailing address
606 BETH AVE, WINSTON SALEM, NC 27127-7115
(175) 576-6009
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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