Individual
STARIE CAPRICE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
X2 PREVENTIVE
Contact information
Practice address
BLDG 4405 INNKEEPER ST, FT RUCKER, AL 36362
(334) 255-3393
Mailing address
4405 INNKEEPER ST, FT RUCKER, AL 36362
(334) 255-3393
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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