Individual
MRS. ROSA LEE BROWN-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
453 CODY DR, ORANGE PARK, FL 32073-4214
(904) 699-2601
Mailing address
453 CODY DR, ORANGE PARK, FL 32073-4214
(904) 699-2601
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/26/2015
Last updated
12/26/2015
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