Individual
CHARLES BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6617
(760) 201-6752
Mailing address
3410 FIR ST, SAN DIEGO, CA 92104-5706
(760) 201-6752
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F06161371
CA
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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