Individual
JOHN BROWN AVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37223 QUEEN ANNE PL, PALMDALE, CA 93551-6905
(661) 714-7381
Mailing address
37223 QUEEN ANNE PL, PALMDALE, CA 93551-6905
(661) 714-7381
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/26/2023
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