Individual
TARANEISHEA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 NORTHPOINT PKWY STE 74, WEST PALM BEACH, FL 33407-1812
(561) 619-0796
Mailing address
4725 HOLLY LAKE DR, LAKE WORTH, FL 33463-5374
(561) 932-5231
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B650812689700
—
FL
Enumeration date
01/13/2022
Last updated
01/13/2022
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