Provider Demographics
NPI:1558918128
Name:BROWN, CLAUDEEN TRACY
Entity Type:Individual
Prefix:MRS
First Name:CLAUDEEN
Middle Name:TRACY
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 1:8433 SHIELE LN
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-6678
Mailing Address - Country:US
Mailing Address - Phone:916-284-7141
Mailing Address - Fax:
Practice Address - Street 1:7826 ALTA VALLEY DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-4604
Practice Address - Country:US
Practice Address - Phone:916-688-7704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-19
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist