Individual
AUDRA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 TWELVE OAKS CENTER DR STE 822, WAYZATA, MN 55391-4645
(952) 456-6561
(952) 456-6561
Mailing address
801 TWELVE OAKS CENTER DR STE 822, WAYZATA, MN 55391-4645
(952) 456-6561
(952) 456-6561
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1093903502
MN
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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