Individual
UGENT BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 SW MCCOY AVE, PORT ST LUCIE, FL 34953-3613
(772) 878-4379
Mailing address
1008 SW MCCOY AVE, PORT ST LUCIE, FL 34953-3613
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA153888
FL
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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