Individual
SANDRA BERNICE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 N MERIDIAN RD, APT 144, TALLAHASSEE, FL 32303-5072
(850) 573-4069
Mailing address
2131 N MERIDIAN RD, APT 144, TALLAHASSEE, FL 32303-5072
(850) 573-4069
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
674492396
FL
372600000X
Adult Companion
674492396
FL
374U00000X
Home Health Aide
674492396
FL
376J00000X
Homemaker
674492396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674492396
—
FL
Enumeration date
08/16/2011
Last updated
01/18/2012
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