MEDICARE: MARTINA BRITTANY 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	342000000X	Transportation Network Company
2	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1972335800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTINA BRITTANY BROWN

Provider Business Mailing Address
First Line	:	8303 WADE PARK AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-2969
Country	:	US
Telephone Number	:	216-835-1324
Fax Number	:

Provider Business Practice Location Address
First Line	:	8303 WADE PARK AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-2969
Country	:	US
Telephone Number	:	216-835-1324
Fax Number	:

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

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	08/19/2024

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Directions to “ MARTINA BRITTANY BROWN ” Practice Location

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