JOHNNY BROWN

ROLLING FORK, MS
NPI1063690824
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MS  P121479)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2008-02-04
Last Update Date2008-02-12
Business Address
-- JOHNNY BROWN R.N.
317 W RACE ST
ROLLING FORK, MS 39159-2623
Phone number: 662-873-6228
Mailing Address
-- JOHNNY BROWN R.N.
317 W RACE ST
ROLLING FORK, MS 39159-2623
Phone number: 662-873-6228