Healthcare Provider Details

I. General information

NPI: 1982702148
Provider Name (Legal Business Name): MS. CAESERINE BERNETTA BROWNE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 VETERANS DR SW A-112-BRC
TACOMA WA
98493-0003
US

IV. Provider business mailing address

2724 28TH AVE SW
TUMWATER WA
98512-7868
US

V. Phone/Fax

Practice location:
  • Phone: 253-583-1258
  • Fax:
Mailing address:
  • Phone: 360-357-4118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255R0406X
TaxonomyBlind Rehabilitation Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: