Individual
GRACE LORAINE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4090 GEDDES RD, ANN ARBOR, MI 48105-2750
(734) 807-0463
Mailing address
3001 WOODLAND HILLS DR APT 22, ANN ARBOR, MI 48108-2179
(734) 807-0463
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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