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Individual

TATANISHA BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1508 BRIAR LN, KILLEEN, TX 76543-5050
(512) 920-3071
Mailing address
1508 BRIAR LN, KILLEEN, TX 76543-5050
(512) 920-3071

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
10/14/2025
Last updated
10/14/2025
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