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Individual

TIANA BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1450 N STATE HIGHWAY 360 APT 184, GRAND PRAIRIE, TX 75050-4105
(504) 441-9150
Mailing address
1450 N STATE HIGHWAY 360 APT 184, GRAND PRAIRIE, TX 75050-4105
(504) 441-9150

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
Primary
TX

Other

Enumeration date
01/13/2020
Last updated
01/13/2020
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