Individual
TAWANDA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4451 N 38TH ST, MILWAUKEE, WI 53209-5911
(414) 837-9036
Mailing address
4451 N. 38 STREET, MILWAUKEE, WI 53209-6137
(414) 837-9036
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
B6508178278109
WI
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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