Individual
MR. OLAF BROWN AVINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37223 QUEEN ANNE PLACE, PALMDALE, CA 93551-6905
(661) 492-8588
Mailing address
PO BOX 900242, PALMDALE, CA 93590-0242
(661) 492-8588
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
CA
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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