Individual
MICAH BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13221 OVERCUP OAK CT APT 403, HERNDON, VA 20171-6227
(616) 894-9165
Mailing address
13221 OVERCUP OAK CT APT 403, HERNDON, VA 20171-6227
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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