Individual
JORDAN L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 451-0452
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 451-0452
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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