Individual
REGINA L BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3282 S BOWMAN ROAD, APACHE JUNCTION, AZ 85119
(602) 999-5067
(888) 897-8710
Mailing address
3282 E. BOWMAN ROAD, APACHE JUNCTION, AZ 85119
(602) 999-5067
(888) 897-8710
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033726
AHCCCS ALTCS
AZ
Enumeration date
07/01/2016
Last updated
07/01/2016
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