Individual
TELIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1958 HATTIE MAE LN, NICEVILLE, FL 32578-3276
(580) 649-1094
Mailing address
1958 HATTIE MAE LN, NICEVILLE, FL 32578-3276
(580) 649-1094
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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