Individual ProviderVanetra R BrownCase Manager/Care CoordinatorOther Service ProvidersPractice Address2916 30th St SE Apt 31, Washington, DC 20020-1636(202) 977-6304PECOS EnrollmentBased on the most recent information from CMS, provider Vanetra R Brown does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1073213856Provider TypeIndividualFull NameBrown, Vanetra RGenderFemaleSole ProprietorYesEnumeration Date3/9/2023Last Updated4/15/2023Contact InformationPractice LocationPractice Address2916 30th St SE Apt 31, Washington, DC 20020-1636Phone(202) 977-6304FaxUnlisted FaxMailing LocationMailing Address2916 30th St SE Apt 31, Washington, DC 20020-1636Phone(202) 977-6304FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseB650839730543MarylandCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseB650839730543Maryland