Individual
JAQUEL A BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
945 FAIRGLADE LN APT A, COLUMBUS, OH 43224-3148
(419) 388-9757
Mailing address
945 FAIRGLADE LN APT A, COLUMBUS, OH 43224-3148
(419) 388-9757
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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