Individual
KYANNIE BREANNE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
762 CYPRESS ST, SAN DIMAS, CA 91773-3505
(909) 599-1227
Mailing address
333 S BEAUDRY AVE, LOS ANGELES, CA 90017-1466
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2022
Last updated
05/22/2025
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