Individual
ALICE ROSE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 SWIERKOS DR, MOUNDSVILLE, WV 26041-4209
(304) 843-0910
Mailing address
60060 WATT RD, JACOBSBURG, OH 43933-9747
(304) 843-0910
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255523494
—
WV
05
—
1821206228
—
WV
Enumeration date
03/25/2021
Last updated
03/25/2021
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