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NPI Code Detail

MEDICARE: HOLLY VICTORIA BROWN

MEDICARE: HOLLY VICTORIA BROWN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372500000XChore Provider
2372600000XAdult Companion
33747A0650XAttendant Care Provider
43747P1801XPersonal Care Attendant
5376J00000XHomemaker

General Provider Information

NPI Number : 1629578505
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY VICTORIA BROWN
Provider Business Mailing Address
First Line : 210 QUAIL RUN
Second Line :
City : MESQUITE
State : NV
Zip : 89027-6259
Country : US
Telephone Number : 702-757-7751
Fax Number :
Provider Business Practice Location Address
First Line : 550 W PIONEER BLVD STE 204
Second Line :
City : MESQUITE
State : NV
Zip : 89027-1406
Country : US
Telephone Number : 702-345-4065
Fax Number : 702-345-4077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2018
Last Update Date : 02/16/2018

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Directions to “ HOLLY VICTORIA BROWN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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