Individual
JACQUITA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7955 KANSAS AVE, DALLAS, TX 75241-5300
(682) 249-6136
Mailing address
7955 KANSAS AVE, DALLAS, TX 75241-5300
(682) 249-6136
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
334488
TX
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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