Individual
GABRIELLE MAYNOR-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S BEVERLY AVE, AUSTINTOWN, OH 44515-3541
(330) 774-3360
Mailing address
140 S BEVERLY AVE, AUSTINTOWN, OH 44515-3541
(330) 774-3360
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
MIV148308
OH
164W00000X
Licensed Practical Nurse
PN298042
PA
Other
Enumeration date
11/17/2018
Last updated
11/17/2018
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