Individual
LATRESSA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 SE 24TH ST, GAINESVILLE, FL 32641-7518
(352) 226-6607
Mailing address
104 SE 24TH ST, GAINESVILLE, FL 32641-7518
(352) 226-6607
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
114525
FL
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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