Individual
SANDRA THOMAS BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1825 N FRONTAGE RD, SUITE D, VICKSBURG, MS 39180-5178
(601) 218-2185
(601) 634-0642
Mailing address
207 CENTER POINT RD, VICKSBURG, MS 39183-9278
(601) 218-2185
(601) 634-0642
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1556
MS
Other
Enumeration date
07/25/2013
Last updated
09/04/2013
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