person
Johnathan Brown SR., ATC
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1497292296

Johnathan Brown SR. is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Johnathan Brown SR. practices in Los Angeles, CA and has the professional credentials of ATC. The NPI Number for Johnathan Brown SR. is 1497292296 and holds a License No. 2000015128 (California).

The current practice location address for Johnathan Brown SR. is 2110 W 95Th St, Los Angeles, CA and can be reached out via phone at 323-754-8641.

Location: 2110 W 95Th St, Los Angeles, CA, 90047-3721
person
Provider Profile Details
NPI Number
1497292296
Provider Name
Johnathan Brown SR.
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
2110 W 95Th St, Los Angeles, CA, 90047-3721
Phone Number
323-754-8641
Fax Number
Provider Enumeration Date
01/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2110 W 95Th St
City
State
Zip
90047-3721
Phone Number
323-754-8641
Fax Number
person
Provider Business Mailing Address Details
Address
2110 W 95Th St
City
State
Zip
90047-3721
Phone Number
323-754-8641
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
2000015128 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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