Individual
MR. JASON RANDALL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 ADMIRAL DR APT 404, ANNAPOLIS, MD 21401
(443) 995-8846
Mailing address
612 ADMIRAL DR APT 404, ANNAPOLIS, MD 21401-7531
(443) 995-8846
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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