Organization
SBB FIT 4 LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDI D BROWN BROWN CRNP (FAMILY NURSE PRACTITIONER)
(443) 470-9142
Entity
Organization
Contact information
Practice address
4709 HARFORD RD, BALTIMORE, MD 21214-3205
(443) 470-9142
Mailing address
4709 HARFORD RD, BALTIMORE, MD 21214-3205
(443) 470-9142
(410) 735-5702
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
DISEASE PREVENTION AND WEIGHT LOSS
MD
Enumeration date
06/25/2022
Last updated
08/07/2024
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