Provider Demographics
NPI:1326592684
Name:BROWN, DONNIA
Entity Type:Individual
Prefix:
First Name:DONNIA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 W 76TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043-5362
Mailing Address - Country:US
Mailing Address - Phone:323-921-7172
Mailing Address - Fax:213-403-5645
Practice Address - Street 1:3011 W 76TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90043-5362
Practice Address - Country:US
Practice Address - Phone:323-921-7172
Practice Address - Fax:213-403-5645
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion