Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CA2400X | Assistive Technology Practitioner |
NPI | 1275872178 |
---|---|
Provider Name | Debra Denise Brown |
First Address | North Las Vegas, NV 89031-4324 |
Second Address | North Las Vegas, NV 89031-4324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2013 |
Last Update Date | 12/02/2013 |