Individual
SHIRLEY ELAINE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-7575
Mailing address
1865 KLAUBER AVE, SAN DIEGO, CA 92114-2123
(619) 251-3840
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0574552
DRIVER LICENSE
CA
Enumeration date
04/29/2025
Last updated
04/29/2025
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