Individual
EBONY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
553 CONCORD DR, CANTON, MI 48188-5281
(231) 769-8061
Mailing address
553 CONCORD DR, CANTON, MI 48188-5281
(231) 769-8061
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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