Most Relevant Information
Provider Data
| NPI Number: | 1003654591 |
| Provider Name: | RICHERA J BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/18/2024 |
| Last Updated: | 07/18/2024 |
Provider Practice Location
1010 N PROSPECT ST
BOWLING GREEN
OH
434021335
Practice Location Phone/Fax
| Phone: | 4193525387 |
| Fax: |
Provider Mailing Location
3909 WOODLEY RD
TOLEDO
OH
436061169
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |