Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 295838 | CA |
NPI | 1003371436 |
---|---|
Provider Name | Natalie Brown |
First Address | Red Bluff, CA 96080-4337 |
Second Address | Red Bluff, CA 96080-4337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2019 |
Last Update Date | 11/02/2019 |