MR. Traven Jelani Brown I

NPI #1255560686 in Coppell, Texas

Provider Information

NPI Number: 1255560686
Entity Type: Individual
Name: MR. Traven Jelani Brown I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Jul 7, 2009
Last Updated: Jul 7, 2009

Practice Location

Address: 600 S MACARTHUR BLVD
Address 2: APT 2128
City: Coppell
State: Texas
ZIP Code: 75019-6718
Phone: (318) 512-5105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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