Individual
MS. CAROL THERESA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14582 AGAVE ST, MORENO VALLEY, CA 92553-7164
(951) 992-3443
Mailing address
14582 AGAVE ST, MORENO VALLEY, CA 92553-7164
(951) 992-3443
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
602234
CA
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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