Healthcare Provider Details

I. General information

NPI: 1073743753
Provider Name (Legal Business Name): RAHSHEEDA BROWN LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RAHSHEEDA BROWN-LEVERT

II. Dates (important events)

Enumeration Date: 07/16/2009
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4511 SLICE AVE
PERRIS CA
92571-5186
US

IV. Provider business mailing address

4511 SLICE AVE
PERRIS CA
92571-5186
US

V. Phone/Fax

Practice location:
  • Phone: 951-503-4482
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number206528
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: