Individual
LATISHA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8353 HORNED MAPLE TRL, FORT WORTH, TX 76123-1728
(321) 795-4327
Mailing address
8353 HORNED MAPLE TRL, FORT WORTH, TX 76123-1728
(321) 795-4327
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9555704
FL
163WH0200X
Home Health Registered Nurse
Primary
9555704
FL
Other
Enumeration date
05/17/2023
Last updated
05/22/2023
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