Individual
SHANELL TEONA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3629 S D ST, TACOMA, WA 98418-6813
(253) 278-1486
Mailing address
10506 13TH AVENUE CT E, TACOMA, WA 98445-3917
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
60989867
WA
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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