Provider Demographics
NPI:1194544569
Name:BROWNING, MI'YONNA MONIQUE
Entity type:Individual
Prefix:
First Name:MI'YONNA
Middle Name:MONIQUE
Last Name:BROWNING
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 1:1619 TWIN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-4037
Mailing Address - Country:US
Mailing Address - Phone:567-225-1550
Mailing Address - Fax:
Practice Address - Street 1:1619 TWIN OAKS DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-4037
Practice Address - Country:US
Practice Address - Phone:567-225-1550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTV863942172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver