Individual
MR. JERRY LAMONT BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-4287
Mailing address
14103 S EVERS AVE, COMPTON, CA 90222-3707
(310) 863-6692
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1037115
CA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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