Individual
ALEXIS QUADIZJAH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 SHADY GROVE RD, KINGS MOUNTAIN, NC 28086-9670
(980) 317-0560
Mailing address
250 SHADY GROVE RD, KINGS MOUNTAIN, NC 28086-9670
(980) 317-0560
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
91901
NC
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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