Individual
BERNADETTE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7733 FORSYTH BLVD, STE 1128, CLAYTON, MO 63105-1817
(314) 400-8334
Mailing address
7733 FORSYTH BLVD, STE 1128, CLAYTON, MO 63105-1817
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810928230
—
MO
Enumeration date
12/18/2016
Last updated
12/18/2016
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