Individual
CONSTANCE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23746 CHIPMUNK TRL, NOVI, MI 48375-3333
(313) 551-1078
Mailing address
23746 CHIPMUNK TRL, NOVI, MI 48375-3333
(313) 551-1078
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112388
MI
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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