Individual
BIANCA DANIELLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 E SLAUGHTER LN APT 11204, AUSTIN, TX 78744-2139
(512) 775-0251
Mailing address
PO BOX 17872, AUSTIN, TX 78760-7872
(512) 775-0251
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
346620
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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