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NPI Code Detail

MEDICARE: LATIFAH BROWN

MEDICARE:   LATIFAH  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
1376J00000XHomemaker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033706742
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATIFAH BROWN
Provider Business Mailing Address
First Line : 1639 W NORTH BEND RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-2023
Country : US
Telephone Number : 513-612-0029
Fax Number :
Provider Business Practice Location Address
First Line : 1639 W NORTH BEND RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-2023
Country : US
Telephone Number : 513-612-0029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2020
Last Update Date : 12/29/2020

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Directions to “ LATIFAH BROWN ” Practice Location

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