Charles Nicolas Brown
Community Health Worker in Loma Linda, CA. Individual provider (NPI-1).
NPI number1710749452
StatusActive
Last updated in NPPESJan 30, 2024
Details
- NPI
- 1710749452
- Entity type
- Individual (NPI-1)
- Name
- Charles Nicolas Brown
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2024
- Certification date
- Jan 30, 2024
- Last updated
- Jan 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
11188 Anderson StLoma Linda, CA 92354-2833
Phone 909-558-4000
Mailing address
11188 Anderson StLoma Linda, CA 92354-2833
Phone 909-558-4000
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