Individual
MAHOGANY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 806061, SAINT CLAIR SHORES, MI 48080-6061
(313) 777-8888
Mailing address
PO BOX 806061, SAINT CLAIR SHORES, MI 48080-6061
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703108971
MI
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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