Individual
TIESHA LATOYA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1800 EDGEWOOD AVE W, JACKSONVILLE, FL 32208-8000
(904) 924-7756
Mailing address
1800 EDGEWOOD AVE W, JACKSONVILLE, FL 32208-8000
(904) 924-7756
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5150962
FL
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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