Individual
BARBARA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13208 158TH ST, JAMAICA, NY 11434-2924
(718) 828-2666
Mailing address
13208 158TH ST, JAMAICA, NY 11434-2924
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300108
NY
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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