Provider Demographics
NPI:1285360867
Name:BROWN, VALERIE LATRELL (MSC, CHC, CCEP)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:LATRELL
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSC, CHC, CCEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 S POMPANO PKWY STE 3
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-3016
Mailing Address - Country:US
Mailing Address - Phone:954-859-5788
Mailing Address - Fax:954-859-5586
Practice Address - Street 1:555 S POMPANO PKWY STE 3
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-3016
Practice Address - Country:US
Practice Address - Phone:954-859-5788
Practice Address - Fax:954-859-5586
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor