Individual
RANIE-ANN DOMINIQUE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
3221 NW 45TH TER, LAUDERDALE LAKES, FL 33319-5744
(954) 615-7825
Mailing address
3221 NW 45TH TER, LAUDERDALE LAKES, FL 33319-5744
(954) 615-7825
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
9546157825
CA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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