Individual
TIARRA NICHOLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
178 BROWN STREET, CRAIGSVILLE, WV 26205
(304) 941-6245
Mailing address
PO BOX 757, CRAIGSVILLE, WV 26205-0757
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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