Individual
THOMAS BROWN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2808 LA SALLE ST, FARMINGTON, NM 87401-3775
(505) 592-8893
Mailing address
2808 LA SALLE ST, FARMINGTON, NM 87401-3775
(505) 592-8893
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
17-00010681
NM
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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