Individual
MRS. CAROL J BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, PHN, CPHON
Contact information
Practice address
28201 MARGUERITE PKWY STE 13, MISSION VIEJO, CA 92692-3719
(949) 364-3928
Mailing address
28201 MARGUERITE PKWY STE 13, MISSION VIEJO, CA 92692-3719
(949) 364-3928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
755614
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0150193
MEDI-CAL
CA
Enumeration date
07/20/2012
Last updated
07/20/2012
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