Individual
KENYA NICKITA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
630 5TH AVE, WILLIAMSPORT, PA 17701-4764
(267) 595-0080
Mailing address
630 5TH AVE, WILLIAMSPORT, PA 17701-4764
(267) 595-0080
Taxonomy
Speciality
Code
Description
License number
State
2278S1500X
SNF/Subacute Care Certified Respiratory Therapist
Primary
YM014746
PA
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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