Individual
MARY J. BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., LMT
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
280777
CA
163W00000X
Registered Nurse
RN 48086
HI
225700000X
Massage Therapist
Primary
MAT 5987
HI
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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