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Individual

KEISHA BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
14715 223RD ST, SPRINGFIELD GARDENS, NY 11413-4143
(718) 598-8362
Mailing address
14715 223RD ST, SPRINGFIELD GARDENS, NY 11413-4143
(718) 598-8362

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
343040001110E
NY

Other

Enumeration date
12/10/2012
Last updated
12/10/2012
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