Individual
MRS. WILMA S BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
167 NORTH MAIN ST, TUBA CITY, AZ 86045
(928) 283-2501
Mailing address
5487 KY 906, HUSTONVILLE, KY 40437-8592
(606) 346-4324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1053228
KY
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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