Individual
ERIC BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 E MOUNTAIN VIEW ST, SUITE 100, BARSTOW, CA 92311-2814
(760) 256-0376
(760) 266-0377
Mailing address
PO BOX 7369, REDLANDS, CA 92375-0369
(909) 792-0747
(909) 792-2045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3005
SIMON STAFF NUMBER
CA
Enumeration date
02/15/2008
Last updated
02/15/2008
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