Individual
NICOLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 W QUEEN ST UNIT 9, INGLEWOOD, CA 90301-1085
(818) 447-6642
Mailing address
630 W QUEEN ST UNIT 9, INGLEWOOD, CA 90301-1085
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/29/2020
Last updated
05/29/2020
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