Micah Brown

NPI #1043962905 in Herndon, Virginia

Provider Information

NPI Number: 1043962905
Entity Type: Individual
Name: Micah Brown
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 21, 2022
Last Updated: Jan 21, 2022

Practice Location

Address: 13221 OVERCUP OAK CT APT 403
City: Herndon
State: Virginia
ZIP Code: 20171-6227
Phone: (616) 894-9165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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