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Koren Brown

Homemaker in Pleasantville, NJ. Individual provider (NPI-1).

NPI number1447516992
StatusActive
Last updated in NPPESApr 10, 2012

Details

NPI
1447516992
Entity type
Individual (NPI-1)
Name
Koren Brown
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 10, 2012
Last updated
Apr 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker–NJYes
372600000X Adult Companion–NJ

Practice location

12 Shadeland Ave
Pleasantville, NJ 08232-3622

Phone 609-813-1121

Mailing address

12 Shadeland Ave
Pleasantville, NJ 08232-3622

Phone 609-813-1121

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