Individual
MS. LATASHA ALI BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED NURSE
Contact information
Practice address
3 ROCKRIDGE CIR, BRIDGEPORT, CT 06606-2551
(203) 526-7356
Mailing address
3 ROCKRIDGE CIR, BRIDGEPORT, CT 06606-2551
(203) 526-7356
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
034876
CT
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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