Individual
TANGELA RENEE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4125 GRISSOM ST, GASTONIA, NC 28056-6813
(704) 271-0869
Mailing address
4125 GRISSOM ST, GASTONIA, NC 28056-6813
(704) 271-0869
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000000000000
—
NC
Enumeration date
02/20/2023
Last updated
02/20/2023
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