Isah Broadus

NPI 1144429168 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1144429168
Gender Male
Enumeration Date 07/11/2007
Last Updated 07/11/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2707 BROWNS LN
JONESBORO AR, 72401-7213, US
Phone (870) 972-4939
Fax (870) 972-4911
Business Location
2707 BROWNS LN
JONESBORO AR, 72401-7213, US
Phone (870) 972-4939
Fax (870) 972-4911
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Isah Broadus NPI is 1144429168, taxonomy code is 171M00000X Isah Broadus physically located at 2707 Browns Ln, Jonesboro AR, 72401-7213. NPI Number Isah Broadus has the Individual type.

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1144429168 NPI number is provided on an as is basis without warranty of any kind. 1144429168 is maintained by the National Plan & Provider Enumeration System. The contents of Isah Broadus are for informational purposes only.