Individual
MRS. GWENDOLYN MICHELLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1114 1/2 VENABLE ST., MCCOMB, MS 39648
(601) 248-5267
Mailing address
1114 1/2 VENABLE ST., MCCOMB, MS 39648
(601) 248-5267
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
A023062
MS
376J00000X
Homemaker
A023062
MS
376K00000X
Nurse's Aide
Primary
A023062
MS
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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