Individual
KANICOLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MAPLE LN, WINDSOR, VA 23487-9525
(757) 371-3522
Mailing address
100 MAPLE LN, WINDSOR, VA 23487-9525
(757) 371-3522
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
VA
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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