Individual
MRS. ANGIE E BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1601 LAKE ST, LODI, CA 95242-2436
(209) 333-2711
Mailing address
1601 LAKE ST, LODI, CA 95242-2436
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
204943
CA
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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