Individual
TAWANA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15632 N 156TH LN, SURPRISE, AZ 85374-8813
(602) 601-8327
Mailing address
5350 W BELL RD STE C122, GLENDALE, AZ 85308-3907
(602) 601-8327
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
342000000X
Transportation Network Company
—
AZ
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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