Marcus Brown
Chore Provider in Omaha, NE. Individual provider (NPI-1).
NPI number1942015490
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1942015490
- Entity type
- Individual (NPI-1)
- Name
- Marcus Brown
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2025
- Certification date
- Feb 11, 2025
- Last updated
- Feb 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | – | – | Yes |
Practice location
2319 Himebaugh AveOmaha, NE 68110-1046
Phone 402-813-6093
Mailing address
10840 Cottonwood LnOmaha, NE 68164-3764
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