Individual
KATINA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 INDIAN TRL, MERRILLVILLE, IN 46410-4724
(773) 983-1275
Mailing address
79 INDIAN TRL, MERRILLVILLE, IN 46410-4724
(773) 983-1275
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
9370570449
IN
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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