Individual
MRS. TELISHA TANNIELE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 YARMOUTH AVE S, ST PETERSBURG, FL 33711-3347
(727) 289-5772
Mailing address
4612 YARMOUTH AVE S, ST PETERSBURG, FL 33711-3347
(727) 289-5772
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 162434
FL
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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