Individual
DANIEL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5620 N MAR VISTA DR, PEORIA, IL 61614-3847
(207) 692-3969
Mailing address
5620 N MAR VISTA DR, PEORIA, IL 61614-3847
(207) 692-3969
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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