Individual
MS. IZASKUN YVONNE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COHC
Contact information
Practice address
3259 CATLIN AVE, NAVAL HEALTH CLINIC QUANTICO, DEPLOYMENT HEALTH CLINIC, QUANTICO, VA 22134-5109
(703) 784-1730
Mailing address
3259 CATLIN AVE, NAVAL HEALTH CLINIC QUANTICO, DEPLOYMENT HEALTH CLINIC, QUANTICO, VA 22134-0020
(703) 784-1730
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
1710I1003X
Independent Duty Medical Technicians
—
—
246Z00000X
Other Specialist/Technologist
Primary
204112N
VA
246Z00000X
Other Specialist/Technologist
490166
VA
247200000X
Other Technician
—
—
Other
Enumeration date
04/02/2007
Last updated
05/13/2022
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