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NPI Code Detail

MEDICARE: LATOYA MONIQUE BROWN

MEDICARE:   LATOYA MONIQUE 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
13747A0650XAttendant Care ProviderS200024009MO

General Provider Information

NPI Number : 1609454800
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATOYA MONIQUE BROWN
Provider Business Mailing Address
First Line : 2064 SUN VALLEY DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63136-4028
Country : US
Telephone Number : 314-651-9096
Fax Number :
Provider Business Practice Location Address
First Line : 2064 SUN VALLEY DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63136-4028
Country : US
Telephone Number : 314-651-9096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2021
Last Update Date : 03/30/2021

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Directions to “ LATOYA MONIQUE BROWN ” Practice Location

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