Most Relevant Information
Provider Data
| NPI Number: | 1003403544 |
| Provider Name: | JUDITH BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/30/2020 |
| Last Updated: | 01/04/2021 |
Provider Practice Location
108 CHARLES STREET
CHESTER
WV
26034
Practice Location Phone/Fax
| Phone: | 3043873443 |
| Fax: |
Provider Mailing Location
108 CHARLES STREET
CHESTER
WV
26034
Provider Mailing Phone/Fax
| Phone: | 3043873443 |
| Fax: |