Individual
DIAJUANA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 N 12TH ST, TAMPA, FL 33605-1013
(813) 442-7776
Mailing address
3405 N 12TH ST, TAMPA, FL 33605-1013
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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