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Individual

CRISTAL LATANZA BROWN

Active
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Individual

CRISTAL LATANZA BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
149495
NC
207RG0100X
Gastroenterology Physician
303556
LA
207RI0008X
Hepatology Physician
303556
LA
207RI0008X
Hepatology Physician
Primary
S4271
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01052576
MS
05
2430963
LA
Enumeration date
05/12/2008
Last updated
10/07/2024
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