Individual
MAXINE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 HOMESTEAD ROAD, SUITE 201, PAHRUMP, NV 89048
(775) 727-0101
(775) 727-0606
Mailing address
2101 SAGINAW AVE, PAHRUMP, NV 89048-6279
(775) 513-1205
(702) 933-0197
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254000000X
—
NV
Enumeration date
10/19/2012
Last updated
10/19/2012
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