Individual
AUDREY O BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2926 SLAGLES ROAD, EMPORIA, VA 23847
(434) 632-0584
Mailing address
2926 SLAGLES ROAD, EMPORIA, VA 23847
(434) 632-0584
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T24658673
VA
Other
Enumeration date
03/13/2018
Last updated
06/16/2018
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