Individual
LATIFAH BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1639 W NORTH BEND RD, CINCINNATI, OH 45224-2023
(513) 612-0029
Mailing address
1639 W NORTH BEND RD, CINCINNATI, OH 45224-2023
(513) 612-0029
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3018871
—
OH
Enumeration date
12/29/2020
Last updated
12/29/2020
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