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Individual

ELIZA M BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3005 WESTWOOD NORTHERN BLVD APT 5, CINCINNATI, OH 45211-3628
(513) 510-0507
Mailing address
3005 WESTWOOD NORTHERN BLVD APT 5, CINCINNATI, OH 45211-3628
(513) 510-0507

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
863204236
NON MEDICAL SERVICE
OH
Enumeration date
04/12/2021
Last updated
04/12/2021
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