MEDICARE: PAMELA A 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
1	374U00000X	Home Health Aide	2058099	DC

General Provider Information

NPI Number	:	1215299920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA A BROWN

Provider Business Mailing Address
First Line	:	1620 CONSTITUTION AVE NE
Second Line	:	#1
City	:	WASHINGTON
State	:	DC
Zip	:	20002-6503
Country	:	US
Telephone Number	:	202-603-5271
Fax Number	:

Provider Business Practice Location Address
First Line	:	1620 CONSTITUTION AVE NE
Second Line	:	#1
City	:	WASHINGTON
State	:	DC
Zip	:	20002-6503
Country	:	US
Telephone Number	:	202-603-5271
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2012
Last Update Date	:	06/10/2012

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Directions to “ PAMELA A BROWN ” Practice Location

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