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Individual

MR. NATHANIEL MICHAEL BROWN SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4424 SUMRALL DR, BATON ROUGE, LA 70811-6051
(225) 276-4408
(225) 421-1125
Mailing address
4424 SUMRALL DR, BATON ROUGE, LA 70811-6051
(225) 276-4408
(225) 421-1125

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
811490703
LA
Enumeration date
09/05/2017
Last updated
07/21/2022
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