Carol Theresa Brown
Registered Nurse, Home Health in Moreno Valley, CA. Individual provider (NPI-1).
NPI number1164036950
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1164036950
- Entity type
- Individual (NPI-1)
- Name
- Ms. Carol Theresa Brown
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2020
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | 602234 | CA | Yes |
Practice location
14582 Agave StMoreno Valley, CA 92553-7164
Phone 951-992-3443
Mailing address
14582 Agave StMoreno Valley, CA 92553-7164
Phone 951-992-3443
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