Individual
LASONIA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 W UNION HILLS DR # 108, GLENDALE, AZ 85308-1660
(800) 768-0552
Mailing address
4410 W UNION HILLS DR # 108, GLENDALE, AZ 85308-1660
(800) 768-0552
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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