Individual
RUTH BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 PASCAGOULA ST, PASCAGOULA, MS 39567-6533
(662) 523-5294
Mailing address
1501 PASCAGOULA ST, PASCAGOULA, MS 39567-6533
(662) 523-5294
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-175264
AL
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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