Individual
MS. ANESHIA LATOYA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14710 S GIN RD, ATOKA OKLAHOMA, OK 74525-2047
(405) 314-9691
Mailing address
649 NW 120TH ST, OKLAHOMA CITY, OK 73114-8310
(405) 314-9691
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120
—
OK
Enumeration date
10/24/2012
Last updated
11/16/2012
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