Individual
JACQUEZ DE'MAR BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 EDGEWORTH ST, HIGH POINT, NC 27262-6807
(336) 307-9515
Mailing address
109 EDGEWORTH ST, HIGH POINT, NC 27262-6807
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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