Individual
MS. KENNISHA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 NW AVENUE B APT 1, BELLE GLADE, FL 33430-2888
(561) 449-3779
Mailing address
PO BOX 561, BELLE GLADE, FL 33430-0561
(561) 449-3779
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
1011-1871
GA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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