Individual
VALARIE J BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
105 W RIDGELAND AVE, STE 4, RIDGELAND, MS 39157-2026
(601) 810-1392
Mailing address
5847 CANTON PARK DR, JACKSON, MS 39211-3433
(601) 810-1392
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
00-61359
MS
Other
Enumeration date
04/17/2015
Last updated
04/28/2016
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