Individual
CHONDRA MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TRANSPORTATION
Contact information
Practice address
4225 E MCDOWELL RD APT 1097, PHOENIX, AZ 85008-4456
(832) 540-4313
Mailing address
4225 E MCDOWELL RD APT 1097, PHOENIX, AZ 85008-4456
(832) 540-4313
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
D11270161
AZ
172A00000X
Driver
D11270161
AZ
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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