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JAMAL BROWN

>> Emergency Medical Technician, Basic >> Emergency Medical Service Providers

Registrant NPI Number: 1891277018

Individual Registrant:
 JAMAL  BROWN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5150 CANDLEWOOD ST STE 17B  LAKEWOOD, CA 90712-1927 US
Tel: 833-224-2190  Fax: 833-224-2191

Contact information for business:
5150 CANDLEWOOD ST STE 17B  LAKEWOOD, CA 90712-1927 US
Tel: 833-224-2190  Fax: 833-224-2191

Registration Information:
NPI: 1891277018
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y146N00000XEmergency Medical Service Providers
Emergency Medical Technician, Basic
CAE074982

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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