Individual
JAFARI KINTE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-5960
Mailing address
16915 LAKE KNOLL PKWY, RIVERSIDE, CA 92503-6561
(951) 809-2818
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA20020
CA
Other
Enumeration date
01/18/2010
Last updated
12/01/2021
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