Individual
TARA LEESHANDA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 S 34TH ST APT A, FORT PIERCE, FL 34947-4526
(772) 971-4271
Mailing address
2209 S 34TH ST APT A, FORT PIERCE, FL 34947-4526
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 149250
FL
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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