Provider Demographics
NPI:1861789943
Name:BROWN, CHERYL CAPULI (SURGICAL TECHNICIAN)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:CAPULI
Last Name:BROWN
Suffix:
Gender:F
Credentials:SURGICAL TECHNICIAN
Other - Prefix:MS
Other - First Name:CHERYL
Other - Middle Name:MONTEMAYOR
Other - Last Name:CAPULI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SURGICAL TECHNICIAN
Mailing Address - Street 1:CMR 402 BOX 432
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180-0005
Mailing Address - Country:US
Mailing Address - Phone:254-449-7380
Mailing Address - Fax:
Practice Address - Street 1:CMR 402 BOX 432
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180-0005
Practice Address - Country:US
Practice Address - Phone:254-449-7380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other