Individual
MR. TRAVEN JELANI BROWN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 S MACARTHUR BLVD, APT 2128, COPPELL, TX 75019-6718
(318) 512-5105
Mailing address
600 S MACARTHUR BLVD, APT 2128, COPPELL, TX 75019-6718
(318) 512-5105
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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