Individual
AUDRY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14019 169TH ST, JAMAICA, NY 11434-5958
(347) 952-4622
Mailing address
14019 169TH ST, JAMAICA, NY 11434-5958
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304079
NY
Other
Enumeration date
06/11/2011
Last updated
06/11/2011
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