NPI | 1518667823 |
---|---|
Other Name | JANET CREBASSA-BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101283542) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2023-03-06 |
Last Update Date | 2024-08-21 |