Individual provider · NPI-1

Jalen Brown

Home Health Aide · Orlando, FL

NPI number1821855776
StatusActive
Last updated in NPPESMar 5, 2024

Details

NPI
1821855776
Entity type
Individual (NPI-1)
Name
Jalen Brown
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 5, 2024
Certification date
Mar 5, 2024
Last updated
Mar 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

4502 Conley St
Orlando, FL 32811-4371

Phone 407-967-0668

Mailing address

4502 Conley St
Orlando, FL 32811-4371

Phone 407-967-0668

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