Individual
KACYNDA MARSHALL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6320 N BROAD ST, PHILADELPHIA, PA 19141-2010
(215) 927-0926
Mailing address
6320 N BROAD ST, PHILADELPHIA, PA 19141-2010
(215) 927-0926
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9968183
PA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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