Individual
GINA MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2900 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1816
(831) 345-5347
Mailing address
PO BOX 1777, SOQUEL, CA 95073-1777
(831) 345-5347
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN456428
CA
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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