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Individual

VENICA SHANTEL BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
144 STEVENS DR, MIDWAY, FL 32343-2686
(850) 251-9942
Mailing address
PO BOX 726, MIDWAY, FL 32343-0726
(850) 251-9942

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
FL

Other

Enumeration date
08/16/2021
Last updated
08/16/2021
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