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NPI Code Detail

MEDICARE: TYEAST MONIQUE BROWN M.S

MEDICARE:   TYEAST MONIQUE BROWN  M.S
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
1106H00000XMarriage & Family Therapist83248CA

General Provider Information

NPI Number : 1306979042
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYEAST MONIQUE BROWN M.S
Provider Business Mailing Address
First Line : 42455 10TH ST W STE 103
Second Line :
City : LANCASTER
State : CA
Zip : 93534-7060
Country : US
Telephone Number : 661-341-3900
Fax Number : 661-341-3904
Provider Business Practice Location Address
First Line : 42455 10TH ST W STE 103
Second Line :
City : LANCASTER
State : CA
Zip : 93534-7060
Country : US
Telephone Number : 661-341-3900
Fax Number : 661-341-3904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 03/05/2020

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Directions to “ TYEAST MONIQUE BROWN M.S” Practice Location

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